97-4957. Agency Information Collection Activities: Submission for OMB Review; Comment Request
[Federal Register Volume 62, Number 40 (Friday, February 28, 1997)]
[Notices]
[Pages 9201-9202]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-4957]
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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:
Application for Certification as a Federally Qualified Health
Center (FQHC) (OMB No. 0915-0142); Extension and Revision
The Federally Qualified Health Center (FQHC) Look-Alike application
package (OMB No. 0915-0142) was developed to certify entities as FQHC
providers under Medicaid and Medicare. FQHCs receive
[[Page 9202]]
reasonable cost-related reimbursement under Medicaid and Medicare for a
full range of primary health care services. The application for FQHC
certification is divided into four components: (1) Need and Community
Impact, (2) Health Services, (3) Management and Finance, and (4)
Governance. Certified FQHC Look-Alikes must submit an annual
recertification document with updated exhibits to retain designation as
an FQHC.
In an effort to improve the procedures for certifying FQHCs, HRSA
is considering revising the FQHC Look-Alike application (with parallel
changes made to the recertification requirements). The revised version
would update the application guidelines and exhibits to reflect current
law, regulations, and practice. A revised application may also include
more specific guidance on how applicants should document existing unmet
need in the community.
These revisions will be developed during the next year and
submitted for OMB approval in 1998. In the interim, a request for a
two-year extension of OMB approval of the current forms is being
submitted. Only minor technical changes have been made to the forms.
Estimates of annualized hour burden are as follows:
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Responses Total
Form name Number of per Hours per burden
respondents respondent response hours
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Application................................................. 70 1 120 8,400
Recertification............................................. 231 1 20 4,620
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Total................................................... 301 1 43 13,020
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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, DC
20503.
Dated: February 10, 1997.
J. Henry Montes,
Director, Office of Policy and Information Coordination.
[FR Doc. 97-4957 Filed 2-27-97; 8:45 am]
BILLING CODE 4160-15-P
Document Information
- Published:
- 02/28/1997
- Department:
- Health Resources and Services Administration
- Entry Type:
- Notice
- Document Number:
- 97-4957
- Pages:
- 9201-9202 (2 pages)
- PDF File:
-
97-4957.pdf