Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

Periodically, the Health Resources and Services Administration

(HRSA) publishes abstracts of information collection requests under

review by the Office of Management and Budget, in compliance with the

Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). To request a

copy of the clearance requests submitted to OMB for review, call the

HRSA Reports Clearance Office on (301)-443-1129.

The following request has been submitted to the Office of

Management and Budget for review under the Paperwork Reduction Act of

1995:

Uncompensated Services Reporting and Recordkeeping--42 CFR 124,

Subpart F (OMB No. 0915-0077)--Extension and Revision

Titles VI and XVI of the PHS Act, commonly known as the Hill-Burton

Act, provide for government grants and loans for construction or

renovation of health care facilities. As a condition of receiving this

construction assistance, facilities are required to provide a

``reasonable volume'' of services to persons unable to pay. Facilities

are also required to provide assurances periodically that the required

level of uncompensated care is being provided, and to follow certain

notification and recordkeeping procedures. These requirements are

referred to as the uncompensated services assurance.

Certain types of facilities can apply for one of four compliance

alternatives which reduce the reporting, recordkeeping, and

notification requirements. A new compliance alternative has been added

to this clearance package.

The regulations contain provision for reporting to the government

the amount of free care provided, as well as provisions for following

certain notification and recordkeeping procedures. The regulations also

define the procedures for applying for certification (and annual

recertification) under a compliance alternative. All of these

regulations are included in this clearance request. The Uncompensated

[[Page 60715]]

Services Assurance Report (USAR) (HRSA form 710) is one of the methods

of reporting the amount of free care provided.

There are no changes to the USAR form. The burden estimates have

been reduced because many facilities have met their obligation and are

no longer obligated to report. Burden estimates are as follows:

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Responses

Type of requirement and regulatory citation Number of per Total Hours per Total hour

respondents respondent responses response burden

----------------------------------------------------------------------------------------------------------------

Disclosure Burden (42 CFR):

Published Notices (124.504(a))............ 863 1 863 1.0 863

Individual Notices (124.504(c))........... 863 1 863 50.0 43,150

Determinations of Eligibility (124.507)... 863 396 341,748 1.25 427,185

Reporting:

Uncompensated Services Report--HRSA Form

710 (124.509(a))......................... 374 1 374 14.0 5,236

Application for Compliance Alternatives:

Public Facilities (124.513)............... 5 1 5 6.0 30

Small Obligation Facilities (124.514(c)).. 0 ........... ........... ............ ...........

CHC, MHC, NHSC (124.515(b)(2)(ii) and

124.515(b)(3)(iii)(B))................... 0 ........... ........... ............ ...........

Charitable Facilities (124.516(c))........ 2 1 2 6.0 12

Annual Certification for Compliance

Alternatives:

Public Facilities (124.509(b))............ 355 1 355 0.5 178

Charitable Facilities (124.509(b))........ 19 1 19 0.5 10

Small Obligation Facilities (124.509(c)).. 2 1 2 0.5 1

Complaint Information (124.511(a)):

Individuals............................... 4 1 4 0.25 1

Facilities................................ 4 1 4 0.5 2

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Total reporting and notification burden. 1,250 ........... 344,239 ............ 476,668

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------------------------------------------------------------------------

Number of Hours per Total hour

Recordkeeping requirements recordkeepers year burden

------------------------------------------------------------------------

Non-alternative Facilities

(124.510(a)).................. 863 70 60,410

Small Obligation Facilities

(124.510(b)).................. 0 ........... ...........

Public Facilities (124.510(b)). 0 ........... ...........

Charitable Facilities

(124.510(b)).................. 0 ........... ...........

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Total burden for this project is estimated to be 537,078 hours.

Written comments and recommendations concerning the proposed

information collection should be sent within 30 days of this notice to:

Virginia Huth, Human Resources and Housing Branch, Office of Management

and Budget, New Executive Office Building, Room 10235, Washington, D.C.

20503.

Dated: November 22, 1996.

J. Henry Montes,

Associate Administrator for Policy Coordination.

[FR Doc. 96-30385 Filed 11-27-96; 8:45 am]

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