[Federal Register Volume 78, Number 22 (Friday, February 1, 2013)]
[Notices]
[Pages 7436-7437]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-02140]


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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 3507(a)(1)(D) of the Paperwork 
Reduction Act of 1995 which requires 30 days for public comment on 
proposed information collection projects, the 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. This proposed information collection project was previously 
published in the Federal Register (77 FR 69865) on November 21, 2012, 
and allowed 60 days for public comment, as required by 3506(c)(2)(A). 
No public comment was received in response to the notice. The purpose 
of this notice is to allow 30 days for public comment to be submitted 
directly to OMB.
    Proposed Collection: Title: 0917-0002, ``IHS Contract Health 
Service Report.'' Type of Information Collection Request: Extension, 
without change, of a currently approved information collection, 0917-
0002, ``IHS Contract Health Service Report.'' While there were minor 
text changes (i.e., updating of statute/regulatory citations), there 
were no significant changes to the form. Form: IHS 843-1A. ``Order for 
Health Services.'' Need and Use of Information Collection: The IHS 
Contract Health Service (CHS) Program, located in the Office of 
Resource Access and Partnerships, needs this information to certify 
that the health care services requested and authorized by the IHS have 
been performed by the CHS provider(s) to have providers validate 
services provided; to process payments

[[Page 7437]]

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.
    Burden Hours: The table below provides: Types of data collection 
instruments, Estimated number of respondents, Number of responses per 
respondent, Average burden hour per response, and Total annual burden 
hours.

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                                                     Estimated                        Average
          Data collection instrument(s)              number of     Responses per    burden hour    Total annual
                                                    respondents     respondent     per response*   burden hours
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IHS 843-1A......................................           7,977              52            3/60          20,740
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............          20,740
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* For ease of understanding, burden hours are also provided in actual minutes.

    The total estimated burden for this collection is 20,740 hours.
    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 your comments to OMB: Send your 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, Office of Regulatory 
Affairs, New Executive Office Building, Room 10235, Washington, DC 
20503, Attention: Desk Officer for IHS.
    To request more information on the proposed collection, or to 
obtain a copy of the data collection instruments and/or instruction(s) 
contact: Tamara Clay, Reports Clearance Officer, 801 Thompson Avenue, 
TMP, Suite 450, Rockville, MD 20852, call non-toll free (301) 443-4750, 
send via facsimile to (301) 443-2316, or send your email requests, 
comments, and return address to: [email protected].

DATES: Comment Due Date: March 4, 2013. 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: January 23, 2013.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2013-02140 Filed 1-31-13; 8:45 am]
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