[Federal Register: December 19, 2002 (Volume 67, Number 244)] [Notices] [Page 77799-77800] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr19de02-76] ----------------------------------------------------------------------- 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 (OMB), 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)--Revision 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 record keeping procedures are being followed. These requirements are referred to as the uncompensated services assurance. Estimate of Information Collection Burden ---------------------------------------------------------------------------------------------------------------- Type of requirement and Number of Responses per Total Hours per Total hour regulatory citation Responses respondent responses response burden ---------------------------------------------------------------------------------------------------------------- Disclosure Burden (42 CFR) Published Notices (124.504(c)).. 206 1 206 0.17 35 Individual Notices (124.504(c)). 206 1 206 35.5 7,313 Determinations of Eligibility 206 396 81,576 0.37 30,183 (124.507)...................... ----------------- Subtotal Disclosure Burden.. .............. .............. .............. .............. 37,531 ---------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------- Type of requirement and Number of Responses per Total Hours per Total hour regulatory citation respondents respondent responses response burden ---------------------------------------------------------------------------------------------------------------- Reporting Uncompensated Services Report-- 10 1 10 11.0 110 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))............... Charitable Facilities 2 1 2 6.0 12 (124.516(c))............... Annual Certification for Compliance Alternatives: Public Facilities 144 1 144 0.5 72 (124.509(b))............... Charitable Facilities 28 1 28 0.5 14 (124.509(b))............... Small Obligation Facilities 1 1 1 0.5 1 (124.509(c))............... Complaint Information (124.511(a)): Individuals................. 10 1 10 0.25 3 Facilities.................. 10 1 10 0.5 5 ----------------- Subtotal Reporting .............. .............. .............. .............. 241 Burden................. ---------------------------------------------------------------------------------------------------------------- [[Page 77800]] ---------------------------------------------------------------------------------------------------------------- Number of Total hour Recordkeeping Recordkeepers Hours per year burden ---------------------------------------------------------------------------------------------------------------- Non-alternative Facilities (124.510(a))...................... 206 50 10,300 Subtotal Recordkeeping Burden............................ ............... ............... 10,300 ---------------------------------------------------------------------------------------------------------------- The total burden for this project is estimated to be 48,072 hours. Written comments and recommendations concerning the proposed information collection should be sent within 30 days of this notice to: John Morrall, Human Resources and Housing Branch, Office of Management and Budget, New Executive Office Building, Room 10235, Washington, DC 20503. Jane M. Harrison, Director, Division of Policy Review and Coordination. [FR Doc. 02-31929 Filed 12-18-02; 8:45 am] BILLING CODE 4165-15-P