Document headings vary by document type but may contain
                    the following: the agency or agencies that issued and signed a document
the number of the CFR title and the number of each part
                      the document amends, proposes to amend, or is directly
                      related to
the agency docket number / agency internal file number
the RIN which identifies each regulatory action listed in
                      the Unified Agenda of Federal Regulatory and Deregulatory
                      Actions See the
                    Document Drafting Handbook
                    for more details.
 Department of Health and Human Services Health Resources and Services Administration
 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, email 
                    *paperwork@hrsa.gov*
                     or call the HRSA Reports Clearance Office on (301) 443-1984. 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 standard requirements are referred to as the uncompensated services assurance. The annual estimate of burden is as follows: Estimate of Information Collection Burden
Instrument
Number of 
                             respondents
Responses per 
                             respondent
Total 
                             responses
Hours per 
                             response
Total burden hours**Disclosure Burden (42 CFR)**Published Notices (124.504(c))
63
1
63
0.75
47.25Individual Notices (124.504(c))
63
1
63
43.60
2,746.80Determinations of Eligibility (124.507)
63
99
6,237
0.75
4,677.75Subtotal Disclosure Burden




7,471.80**Reporting**Uncompensated Services Report—HRSA-710 Form (124.509(a))
10
1
10
11.00
110.00**Application for Compliance Alternatives**Public Facilities (124.513)
4
1
4
6.00
24.00Small Obligation Facilities (124.514(c))
0Charitable Facilities (124.516(c))
0**Annual Certification for Compliance Alternatives**Public Facilities (124.509(b))
32
1
32
0.50
16.00Charitable Facilities (124.509(b))
13
1
13
0.50
6.50Small Obligation Facilities (124.509(c))
0

0**Complaint Information (124.511(a))**Individuals
10
1
10
0.25
2.50Facilities
10
1
10
0.50
5.00Subtotal Reporting Burden




164.00
 
 
 Recordkeeping
Number of record keepers
Hours per year
Total burden hours**Recordkeeping**Non-alternative Facilities (124.510(a))
33
50
1,650.00Unrestricted Availability (124.510(b))
30
50
1,500.00Subtotal Recordkeeping Burden


3,150.00
 Email comments to 
                    *paperwork@hrsa.gov*
                     or mail the HRSA Reports Clearance Officer, Room 10-29, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Written comments should be received within 60 days of this notice. Dated: April 20, 2012. Reva Harris, Acting Director, Division of Policy and Information Coordination.


[FR Doc. 2012-10031 Filed 4-25-12; 8:45 am] BILLING CODE 4165-15-P