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: Uncompensated Services Assurance Report (OMB No.

0915-0077)--Extension

Under the Hill-Burton Act, the Government provides grants and loans

for construction or renovation of health care facilities. As a

condition of receiving this construction assistance, facilities are

required to provide services to persons unable to pay. A condition of

receiving this assistance requires facilities to provide assurances

periodically that the required level of uncompensated care is being

provided, and that certain notification and recordkeeping procedures

are being followed. These requirements are referred to as the

uncompensated services assurance.

Estimate of Information Collection Burden

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Type of requirement and Number of Responses per Total Hours per Total hour

regulatory citation Respondents respondent responses response burden

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Disclosure Burden (42 CFR):

Published Notices 389 1 389 0.75 292

(124.504(a))...............

Individual Notices 389 1 389 43.6 16,960

(124.504(c))...............

Determinations of 389 396 154,044 0.75 115,533

Eligibility (124.507)......

Reporting:

Uncompensated Services 10 1 10 11.0 110

Report--HRSA-710 Form

(124.509(a))...............

Application for Compliance

Alternatives:

Public Facilities (124.513). 4 1 4 6.0 24

Small Obligation Facilities 0

(124.514(c))...............

CHC, MHC, NHSC 0

(124.515(b)(2)(ii) and

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

Charitable Facilities 2 1 2 6.0 12

(124.516(c))...............

Annual Certification for

Compliance Alternatives:

Public Facilities 195 1 195 0.5 98

(124.509(b))...............

Charitable Facilities 26 1 26 0.5 13

(124.509(b))...............

Small Obligation Facilities 1 1 1 0.5 0.5

(124.509(c))...............

Complaint Information

(124.511(a)):

Individuals................. 10 1 10 0.25 3

Facilities.................. 10 1 10 0.5 5

Total Reporting and Notification 617 .............. 155,080 .............. 133,051

Burden.........................

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Number of Total hour

Recordkeeping requirements recordkeepers Hours per year burden

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

Non-alternative Facilities (124.510(a))...................... 389 50 19,450

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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, DC 20503.

Dated: October 29, 1999.

Jane Harrison,

Director, Division of Policy Review and Coordination.

[FR Doc. 99-28810 Filed 11-3-99; 8:45 am]

BILLING CODE 4160-15-P