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:

Proposed Project: Application for Certification and Recertification

as a Federally Qualified Health Center (FQHC) Look Alike, OMB No.

0915-0142--Revision

The Health Resources and Services Administration (HRSA) proposed to

revise the application guide used by organizations applying for

certification, or recertification as a Federally Qualified Health

Center (FQHC) Look-Alike for purposes of cost-based reimbursement under

the Medicaid and Medicare programs. The guide will be revised to

reflect legislative, policy, and technical changes since May, 1997, the

issuance date of the last guidance. Revisions will include reference to

the Balanced Budget Act of 1997 which amended the statutory language

pertaining to FQHC Look-Alikes to include the requirement that ``an

entity may not be owned, controlled, or operated by another entity'',

and the interpretation and implementation policy documents issued by

the HRSA.

Estimates of Burden are as follows:

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Number of Responses per Hours per Total hour

Form respondents respondent respondent burden

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Application..................................... 26 1 100 2,600

Recertification................................. 148 1 20 2,960

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Total....................................... 174 .............. .............. 5,560

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Written comments and recommendations concerning the proposed

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

Wendy A. Taylor, Human Resources and Housing Branch, Office of

Management and Budget, New Executive Office Building, Room 10235,

Washington, D.C. 20503.

Dated: May 28, 1999.

Jane Harrison,

Director, Division of Policy Review and Coordination.

[FR Doc. 99-14230 Filed 6-3-99; 8:45 am]

BILLING CODE 4160-15-U