[Federal Register: December 19, 2002 (Volume 67, Number 244)]
[Notices]
[Page 77800-77801]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr19de02-77]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Indian Health Service Contract Health Service Report
AGENCY: Indian Health Service, HHS.
ACTION: Request for Public Comment: 60-day Proposed Collection: Indian
Health Service Contract Health Service Report.
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SUMMARY: The Indian Health Service (IHS) as part of its continuing
effort to reduce paperwork and respondent burden, conducts a pre-
clearance consultation program to provide the general public and
Federal agencies with an opportunity to comment on proposed and/or
continuing collections of information in accordance with the Paperwork
Reduction Act of 1995 (44 U.S.C. 3506(c)(2)(A)). This program helps to
ensure that requested data can be provided in the desired format,
reporting burden (time and financial resources) is minimized,
collection instruments are clearly understood, and the impact of
collection requirements on respondents can be properly assessed.
Currently, the IHS is providing a 60-day advance opportunity for public
comment on a proposed extension of current information collection
activity to be submitted to the Office of Management and Budget (OMB)
for review.
Proposed Collection
Title: 09-17-0002, ``IHS Contract Health Service Report''.
Type of Information Collection Request: Extension of a currently
approved collection.
Form Number: IHS-843-1A, ``Purchase-Delivery Order for Health
Services.''
Need and Use of Information Collection: The Contract Health Service
health care providers complete form IHS-843-1A to certify that they
have performed the health services authorized by the IHS. The
information is used to manage, administer, and plan for the provision
of health services to eligible American Indian patients, process
payments to providers, obtain program data, provide program statistics,
and, serves as a legal document for health care services rendered.
Affected Public: Businesses or other for-profit, individuals, not-
for-profit institutions and State, local or Tribal government.
Type of Respondents: Health care providers.
The table below provides the type(s) of data collection
instruments, estimated number of respondents, number of responses per
respondent, average burden hour per response, and total annual burden
hour.
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Estimated
Data collection instrument number of Responses per Annual number Average burden hr Total annual
respondents respondent of responses per response* burden hours
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IHS-843-1A................... 7,399 42 310,758 3 minutes........ 15,538
IDS**........................ 16,356 1 16,356 3 minutes........ 818
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* For ease of understanding, the burden is provided in actual minutes.
** Inpatient Discharge Summary (IDS)
There are no Capital Costs, Operating Costs and/or Maintenance
Costs to report.
Request for Comments
Your written comments and/or suggestions are invited on one or more
of the following points: (a) Whether the information collection
activity is necessary to carry out an agency function; (b) whether the
agency processes the information collected in a useful and timely
fashion; (c) the accuracy of public burden estimate (the estimated
amount of time needed for individual respondents to provide the
requested (information); (d) whether the methodology and assumptions
used to determine the estimate are logical; (e) ways to enhance the
quality, utility, and clarity of the information being collected; and
(f) ways to minimize the public burden through the use of automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology.
At the end of the comment period, the comments and recommendations
received will be analyzed to determine the extent to which the
collection should be modified prior to submission to OMB for review and
approval. Comments submitted in response to this notice also will be
summarized or included in the IHS's requests to OMB for renewal of this
collection. All comments will become a matter of public record.
ADDRESSES: Mail, fax or E-mail all written comments to Mr. Lance
Hodahkwen, Sr., M.P.H., IHS Reports Clearance Officer, 12300 Twinbrook
Parkway, Suite 450, Rockville, MD 20852-1601, fax (301) 443-2316, or E-
mail to: lhodahkw@.hqe.ihs.gov.]
FOR FURTHER INFORMATION CONTACT: Requests for additional information on
the proposed project or for copies of the data collection instruments
and instructions should be directed to Carol Littlefield, (301) 443-
2694, or through the Internet (clittlef@hqe.ihs.gov). Indian Health
Service, Rey
[[Page 77801]]
es Building, Room 300, 901 Thompson Avenue, Rockville, MD 20852-1627.
COMMENT DUE DATE: Your comments are best assured of having their full
effect if received on or before February 18, 2003.
Dated: December 12, 2002.
Charles W. Grim,
Assistant Surgeon General, Interim Director.
[FR Doc. 02-31912 Filed 12-18-02; 8:45 am]
BILLING CODE 4160-16-M