[Federal Register Volume 74, Number 242 (Friday, December 18, 2009)]
[Notices]
[Pages 67230-67231]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-30115]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment: 30-Day Proposed Information 
Collection: Indian Health Service Contract Health Services Report

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork 
Reduction Act of 1995 which requires a 30-day advance opportunity for 
public comment on the proposed information collection project, Indian 
Health Service (IHS) is publishing for comment a summary of a proposed 
information collection to be submitted to the Office of Management and 
Budget (OMB) for review.
    The IHS received no comments in response to the 60-day Federal 
Register notice 74 FR 47801 published on September 17, 2009. The 
purpose of this notice is to allow an additional 30 days for public 
comment to be submitted directly to OMB.

Proposed Collection

    Title: 0917-0002, ``Indian Health Service Contract Health Services 
Report.'' Type of Information Collection Request: Three year renewal, 
with change of currently approved information collection, 0917-0002, 
``Indian Health Service Contract Health Services Report.'' Form Number: 
IHS 843-1A. Reporting formats are contained in an IHS Contract Health 
Services Manual Exhibit and IHS Web site. Need and Use of Information 
Collection: The IHS Contract Health Services Program needs this 
information to certify that the health care services requested and 
authorized by the IHS have been performed by the Contract Health 
Services provider(s); to have providers validate services provided; to 
process payments for health care services performed by such providers; 
and to serve as a legal document for health and medical care authorized 
by IHS and rendered by health care providers under contract with the 
IHS. Affected Public: Patients, health and medical care providers or 
Tribal Governments. Type of Respondents: Health and medical care 
providers.
    The table below provides: Types of data collection instruments, 
Estimated number of respondents, Number of responses per respondent, 
Annual number of responses, Average burden

[[Page 67231]]

hour per response, and Total annual burden hours.

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                                  Estimated                                      Average burden
Data collection instrument(s)     number of     Responses per  Annual  number       hour per       Total annual
                                 respondents     respondent     of  responses      response*       burden hours
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IHS-843-1A...................           7,424              51         378,624  0.05 (3 mins)....          18,931
IDS**........................          15,157               1          15,157  0.05 (3 mins)....             758
������������������������������----------------------------------------------------------------------------------
    Total....................          22,581  ..............  ..............  .................          19,689
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*For ease of understanding, burden hours are also provided in actual minutes.
**Inpatient Discharge Summary (IDS)

    There are no Capital Costs, Operating Costs, and/or Maintenance 
Costs to report.
    Request for Comments: Your written comments and/or suggestions are 
invited on one or more of the following points: (a) Whether the 
information collection activity is necessary to carry out an agency 
function; (b) whether the IHS processes the information collected in a 
useful and timely fashion; (c) the accuracy of the public burden 
estimate (this is the amount of time needed for individual respondents 
to provide the requested information); (d) whether the methodology and 
assumptions used to determine the estimate are logical; (e) ways to 
enhance the quality, utility, and clarity of the information being 
collected; and (f) ways to minimize the public burden through the use 
of automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology.
    Direct Comments to OMB: Send your written comments and suggestions 
regarding the proposed information collection contained in this notice, 
especially regarding the estimated public burden and associated 
response time to: Office of Management and Budget, Attention: Desk 
Officer for IHS, Office of Regulatory Affairs, New Executive Office 
Building, Room 10235, Washington, DC 20503.
    Send Comments and Requests for Further Information: To request more 
information on the proposed collection or to obtain a copy of the data 
collection instrument and/or instructions, contact: Ms. Betty Gould, 
Reports Clearance Officer, 801 Thompson Avenue, TMP, Suite 450, 
Rockville, MD 20852, call non-toll free (301) 443-7899, send via 
facsimile to (301) 443-9879, or send your e-mail requests, comments, 
and return address to: [email protected].
    Comment Due Date: Your comments regarding this information 
collection are best assured of having full effect if received within 30 
days of the date of this publication.

    Dated: December 11, 2009.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. E9-30115 Filed 12-17-09; 8:45 am]
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