[Federal Register Volume 62, Number 149 (Monday, August 4, 1997)]
[Notices]
[Pages 41967-41968]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-20432]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day Proposed Collection; IHS
Contract Health Service Report
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SUMMARY: In compliance with Section 3506(c)(2)(A) of the Paperwork
Reduction Act of 1995, to provide a 60-day advance opportunity for
public comment on proposed data collection projects, the Indian Health
Service (IHS) is publishing for comment a summary of a proposed
information collection project 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: 3-year reinstatement, with
change, of previously approved information collection, 09-17-0002,
``IHS Contract Health Service Report'' which expire 09/30/97.
Form Number: IHS-843-1A, ``Purchase-Delivery Order for Health
Services.''
Needs 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.
Table 1 below provides: 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.
Table 1
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Estimated Average
Data collection instrument number of Responses per Annual number Burden hr per Total annual
respondents respondent of responses response* burden hours
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IHS-843-1A...................... 9,115 43 393,416 0.05 (3 mins) 19,670
IDS**........................... 21,797 1 21,797 0.05 (3 mins) 3,175
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* For ease of understanding, burden hours are also 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.
Send Comments and Requests for Further Information
Send your written comments, requests for more information on the
proposed project, or requests to obtain a copy of the data collection
instrument and instructions to: Mr. Lance Hodahkwen, Sr., M.P.H., IHS
Reports Clearance Officer, 12300 Twinbrook Parkway, Suite 450,
Rockville, MD 20852, 1601, call non-toll free (301) 443-0461, fax (301)
443-1522, or send your E-mail requests, comments, and return address
to: [email protected]
Comment Due Date
Your comments regarding this information collection are best
assured of having their full effect if received within 60-days of the
date of this publications.
[[Page 41968]]
Dated: July 23, 1997.
Michael H. Trujillo,
Assistant Surgeon General, Director.
[FR Doc. 97-20432 Filed 8-1-97; 8:45 am]
BILLING CODE 4160-16-M
