[Federal Register Volume 83, Number 62 (Friday, March 30, 2018)]
[Notices]
[Page 13764]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-06521]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Request for Public Comment: 60 Day Proposed Information 
Collection: Indian Health Service Purchased/Referred Care Proof of 
Residency

AGENCY: Indian Health Service, HHS.

ACTION: Notice and request for comments.

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SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, 
which requires 60 days for public comment on proposed information 
collection projects, the Indian Health Service (IHS) invites the 
general public to take this opportunity to comment on the information 
collection Office of Management and Budget (OMB) Control Number 0917-
XXXX, titled, Purchased/Referred Care (PRC) Proof of Residency. The 
purpose of this notice is to allow 60 days for public comment to be 
submitted directly to OMB. A copy of the draft supporting statement is 
available at www.regulations.gov (see Docket ID IHS_FRDOC_0001).

SUPPLEMENTARY INFORMATION: The IHS Office of Resource Access and 
Partnerships Division of Contract Care is submitting the proposed 
information collection to OMB for review, as required by the PRA. This 
notice is soliciting comments from members of the public and affected 
agencies concerning the proposed collection of information to: (1) 
Evaluate whether the proposed collection of information is necessary 
for the proper performance of the functions of the agency, including 
whether the information will have practical utility; (2) Evaluate the 
accuracy of the agency's estimate of the burden of the proposed 
collection of information; (3) Enhance the quality, utility, and 
clarity of the information to be collected; and (4) Minimize the burden 
of the collection of information on those who are to respond; including 
through the use of appropriate automated collection techniques of other 
forms of information technology, e.g., permitting electronic submission 
of responses.
    Proposed Collection Title: 0917-XXXX, ``Indian Health Service 
Purchased/Referred Care Proof of Residency.''
    Type of Information Collection Request: This is a new information 
request for a three year approval of this new information collection, 
0917-XXXX.
    Forms: Purchase/Referred Care Proof of Residency.
    Title of Proposal: Purchased/Referred Care Program.
    OMB Control Number: To be assigned.
    Need and Use of Information Collection: The IHS PRC Program needs 
this information to certify that health care services requested and 
authorized by the IHS have been provided to individuals who have 
provided documentation that meets the eligibility requirements to 
receive medical services from PRC provider(s); and to serve as a legal 
document for health and medical care authorized by the IHS and rendered 
by health care providers under contract with the IHS.
    Agency Form Number: IHS-XXX (A form number will be assigned after 
approval).
    Members of Affected Public: Patients.
    Status of the Proposed Information Collection: New request.
    Type of Respondents: Individuals.
    The table below provides: Types of data collection instruments, 
estimation to number of respondents, number of responses per 
respondent, annual number of responses, average burden 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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Individual Patient Count........          77,185               1          77,185               3        3,859.25
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    Total.......................          77,185               1          77,185               3        3,859.25
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* For ease of understanding, average burden hours are provided in actual minutes.

    There are no direct costs, to respondents to report.
    For Comments: Submit comments, requests for more information on the 
collection, or requests to obtain a copy of the data collection 
instrument and instruction to Ms. Evonne Bennett-Barnes by one of the 
following methods:
     Mail: Ms. Evonne Bennett-Barnes, Information Collection 
Clearance Officer, Indian Health Service, 5600 Fishers Lane, STOP 
09E70, Rockville, MD 20857.
     Phone: (301) 443-4750.
     Email: [email protected].
     Fax: 301-594-0899.
    Comment Due Date: Your comments regarding this information 
collection are best assured of having full effect if received within 60 
days of the date of this publication.

    Dated: March 20, 2018.
Michael D. Weahkee,
Assistant Surgeon General, U.S. Public Health Service, Acting Director, 
Indian Health Service.
[FR Doc. 2018-06521 Filed 3-29-18; 8:45 am]
 BILLING CODE 4165-16-P