[Federal Register Volume 74, Number 67 (Thursday, April 9, 2009)]
[Notices]
[Pages 16217-16218]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-8141]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Periodically, the Health Resources and Services Administration 
(HRSA) publishes abstracts of information collection requests under 
review by the Office of Management and Budget (OMB), in compliance with 
the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request 
a copy of the clearance requests submitted to OMB for review, e-mail 
[email protected] or call the HRSA Reports Clearance Office on (301) 
443-1129.
    The following request has been submitted to the Office of 
Management

[[Page 16218]]

and Budget for review under the Paperwork Reduction Act of 1995:

Proposed Project: Uncompensated Services Assurance Report (OMB No. 
0915-0077)--[Extension]

    Under the Hill-Burton Act, the government provides grants and loans 
for construction or renovation of health care facilities. As a 
condition of receiving this construction assistance, facilities are 
required to provide services to persons unable to pay. A condition of 
receiving this assistance requires facilities to provide assurances 
periodically that the required level of uncompensated care is being 
provided, and that certain notification and record keeping procedures 
are being followed. These requirements are referred to as the 
uncompensated services assurance.
    The annual estimate of burden is as follows:

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                                     Number of     Responses per       Total         Hours per     Total burden
           Instrument               respondents     respondent       responses       response          hours
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                                           Disclosure Burden (42 CFR)
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Published Notices (124.504(c))..              86               1              86            0.75            64.5
Individual Notices (124.504(c)).              86               1              86            43.6         3,749.6
Determinations of Eligibility                 86              99           8,514            0.75        6,385.50
 (124.507)......................
                                 -------------------------------------------------------------------------------
    Subtotal disclosure burden..  ..............  ..............  ..............  ..............       10,199.60
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                                                    Reporting
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Uncompensated Services Report--               10               1              10            11.0             110
 HRSA-710 Form (124.509(a)).....
Application for Compliance
 Alternatives:
    Public Facilities (124.513).               4               1               4             6.0              24
    Small Obligation Facilities                0  ..............  ..............  ..............  ..............
     (124.514(c))...............
    Charitable Facilities                      2               1               2             6.0              12
     (124.516(c))...............
Annual Certification for
 Compliance Alternatives:
    Public Facilities                         37               1              37             0.5            18.5
     (124.509(b))...............
    Charitable Facilities                     14               1              14             0.5               7
     (124.509(b))...............
    Small Obligation Facilities                0               1               0             0.5               0
     (124.509(c))...............
Complaint Information
 (124.511(a)):
    Individuals.................              10               1              10            0.25             2.5
    Facilities..................              10               1              10             0.5               5
    Subtotal reporting burden...  ..............  ..............  ..............  ..............             179
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                                                                     Number of                      Total hour
                          Recordkeeping                            recordkeepers  Hours per year      burden
----------------------------------------------------------------------------------------------------------------
Non-alternative Facilities (124.510(a)).........................              86              50           4,300
                                                                 -----------------------------------------------
    Subtotal recordkeeping burden...............................  ..............  ..............           4,300
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    The total burden for this project is estimated to be 14,678.60 
hours. Written comments and recommendations concerning the proposed 
information collection should be sent within 30 days of this notice to 
the desk officer for HRSA, either by e-mail to [email protected] or by fax to (202) 395-6974. Please direct all 
correspondence to the ``attention of the desk officer for HRSA.''

    Dated: April 3, 2009.
Alexandra Huttinger,
Director, Division of Policy Review and Coordination.
[FR Doc. E9-8141 Filed 4-8-09; 8:45 am]
BILLING CODE 4165-15-P