[Federal Register Volume 77, Number 29 (Monday, February 13, 2012)]
[Notices]
[Pages 7593-7594]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-3281]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Comment Request

    In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Pub. L. 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to the Office of Management and Budget 
(OMB) under the Paperwork Reduction Act of 1995. To request more 
information on the proposed project or to obtain a copy of the data 
collection plans and draft instruments, email [email protected] or 
call the HRSA Reports Clearance Officer at (301) 443-0165.
    Comments are invited on: (a) The proposed collection of information 
for the proper performance of the functions of the Agency; (b) the 
accuracy of the Agency's estimate of the burden of the proposed 
collection of information; (c) ways to enhance the quality, utility, 
and clarity of the information to be collected; and (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

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 periodic 
assurances that the required level of uncompensated care is being 
provided, and that certain notification and record keeping procedures 
are being followed. These standard requirements are referred to as the 
uncompensated services assurance.
    The annual estimate of burden is as follows:

                                    Estimate of Information Collection Burden
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     Type of requirement and         Number of     Responses per       Total         Hours per     Total burden
       regulatory citation          respondents     respondent       responses       response          hours
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Disclosure Burden (42 CFR):
    Published Notices                         63               1              63            0.75           47.25
     (124.504(c))...............
    Individual Notices                        63               1              63           43.60        2,746.80
     (124.504(c))...............
Determinations of Eligibility                 63              63           3,969            0.75        2,976.75
 (124.507)......................
                                 -------------------------------------------------------------------------------
        SUBTOTAL DISCLOSURE       ..............  ..............  ..............  ..............        5,770.80
         BURDEN.................
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     Type of requirement and         Number of     Responses per       Total         Hours per     Total burden
       regulatory citation          respondents     respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Reporting:
    Uncompensated Services                    10               1              10           11.00          110.00
     Report--HRSA-710 Form
     (124.509(a))...............

[[Page 7594]]

 
Application for Compliance
 Alternatives:
    Public Facilities (124.513).               4               1               4            6.00           24.00
    Small Obligation Facilities                0  ..............  ..............  ..............  ..............
     (124.514(c))...............
    Charitable Facilities                      2               1               2            6.00           12.00
     (124.516(c))...............
Annual Certification for
 Compliance Alternatives:
    Public Facilities                         32               1              32            0.50           16.00
     (124.509(b))...............
    Charitable Facilities                     13               1              13            0.50            6.50
     (124.509(b))...............
    Small Obligation Facilities                0  ..............  ..............  ..............  ..............
     (124.509(c))...............
Complaint Information
 (124.511(a)):
    Individuals.................              10               1              10            0.25            2.50
    Facilities..................              10               1              10            0.50            5.00
                                 -------------------------------------------------------------------------------
        SUBTOTAL REPORTING        ..............  ..............  ..............  ..............          176.00
         BURDEN.................
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                                                                     Number of                     Total burden
                          Recordkeeping                           record keepers  Hours per year       hours
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Non-alternative Facilities (124.510(a)).........................              63              50        3,150.00
                                                                 -----------------------------------------------
    SUBTOTAL RECORDKEEPING BURDEN...............................  ..............  ..............        3,150.00
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    Email comments to [email protected] or mail the HRSA Reports 
Clearance Officer, Room 10-33, Parklawn Building, 5600 Fishers Lane, 
Rockville, MD 20857. Written comments should be received within 60 days 
of this notice.

    Dated: February 7, 2012.
Reva Harris,
Acting Director, Division of Policy and Information Coordination.
[FR Doc. 2012-3281 Filed 2-10-12; 8:45 am]
BILLING CODE 4165-15-P