[Federal Register Volume 83, Number 186 (Tuesday, September 25, 2018)]
[Notices]
[Pages 48450-48451]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-20818]


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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 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 of 1995, the 
Indian Health Service (IHS) is submitting to the Office of Management 
and Budget (OMB) a request for approval of a new collection of 
information titled, ``Purchased/Referred Care Proof of Residency'' (OMB 
Control Number 0917-XXXX). This proposed information collection project 
was recently published in the Federal Register (83 FR 13764) on March 
30, 2018, and allowed 60 days for public comment. The IHS received one 
comment regarding this collection. The question summary and response is 
listed in the notice. The purpose of this notice is to allow 30 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).

DATES: October 25, 2018. Your comments regarding this information 
collection are best assured of having full effect if received within 30 
days of the date of this publication.
    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.
    Public Comments: The Agency received one comment.
    Comment: The commenter asked for clarification of the Proof of 
Residency form, to whom it would apply and requested a copy of the data 
collection instrument and instruction.
    Response: The Proof of Residency form, IHS-976, is a Federal form 
applicable to only Federal Purchased/Referred Care (PRC) programs. For 
Tribes operating under Title I contracts or Title V compacts in 
accordance with Indian Self-Determination Education Assistance Act 
(ISDEAA) the IHS-976 is an optional use. Tribes may adopt usage of the 
form but all OMB text and the OMB Burden Statement should be removed. 
The form is developed to document residency within a PRC delivery area. 
The PRC eligibility requires residency documentation and the form will 
be used during the process of a PRC eligibility determination. The form 
is included in the IHS Indian Health Manual Part 2, Chapter 3, 
Purchased/Referred Care Manual. On May 23, IHS initiated Tribal 
Consultation per the ISDEAA for the manual.

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 Paperwork 
Reduction Act of 1995.
    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 Form.
    OMB Control Number: To be assigned.
    Need and Use of Information Collection: The IHS PRC Program needs 
this information to certify that the health care services requested and 
authorized by the IHS have been provided to individuals who are 
documented to meet 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 IHS and rendered by health care 
providers under contract with the IHS.
    Agency Form Number: ``None''.
    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.

[[Page 48451]]



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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.

    Dated: September 18, 2018.
Michael D. Weahkee,
Assistant Surgeon General, U.S. Public Health Service, Acting Director, 
Indian Health Service.
[FR Doc. 2018-20818 Filed 9-24-18; 8:45 am]
 BILLING CODE 4165-16-P