[Federal Register Volume 72, Number 63 (Tuesday, April 3, 2007)]
[Notices]
[Pages 15889-15890]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-6089]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection: 
Comment Request

    In compliance with the requirement for opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Public Law 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to the Office of Management and Budget 
(OMB) under the Paperwork Reduction Act of 1995. To request more 
information on the proposed project or to obtain a copy of the data 
collection plans and draft instruments, call the HRSA Reports Clearance 
Officer on (301) 443-1129.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

Proposed Project: Federally Qualified Health Centers (FQHC) Application 
Forms: (OMB No. 0915-0285 Revision)

    HRSA's Bureau of Primary Health Care (BPHC) FQHCs are a major 
component of America's health care safety net, the Nation's ``system'' 
of providing health care to low-income and other vulnerable 
populations. Health centers care for people regardless of their ability 
to pay and whether or not they have health insurance. They provide 
primary and preventive health care, as well as services such as 
transportation and translation. Many health centers also offer dental, 
mental health, and substance abuse care. FQHCs are administered by 
HRSA's BPHC.
    HRSA uses the following application forms to administer and manage 
FQHCs. These application forms are used by new and existing FQHCs to 
apply for grant and non-grant opportunities, re-new their grant or non-
grant opportunities, or change their scope of project.
    Estimated of annualized reporting burden are as follows:

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                                                                   Responses     Total                   Total
              Type of application form                Number of       per      number of   Hours per    burden
                                                     respondents  respondent   responses   response      hours
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General Information Worksheet......................        1,021           1       1,021         3.0       3,063
P12 Planning General Information Worksheet.........          300           1         300        12.0       3,600
BPHC Funding Request Summary.......................        1,021           1       1,021         0.5         510
Institutional File Assurances......................        1,021           1       1,021         0.5         510
Proposed Staff Profile.............................        1,021           1       1,021         6.0       6,126
Income Analysis Form...............................        1,021           1       1,021        15.0      15,315
Community Characteristics..........................        1,021           1       1,021        12.0      12,252
Services Provided..................................        1,021           1       1,021         0.5         510
Sites Listing......................................        1,021           1       1,021         1.0       1,021
Other Site Activities..............................          700           1         700         0.5         350
Board Member Characteristics.......................        1,021           1       1,021         1.0       1,021
Request for Waiver of Governance Requirements......          150           1         150         1.0         150
Compliance Matrix..................................        1,021           1       1,021         0.5         510
Health Center Affiliation Certification............          250           1         250         0.5         125
Need for Assistance................................          900           1         900         6.0       5,400
Emergency Preparedness Form........................        1,021           1       1,021         1.0       1,021
FTCA Form..........................................          800           1         800         1.0         800
Points of Contact..................................          800           1         800         0.5         400
    Total..........................................       15,131  ..........      15,131  ..........      52,684
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    Send comments to Susan G. Queen, Ph.D., HRSA Reports Clearance 
Officer, Room 14-33, Parklawn Building, 5600 Fishers Lane, Rockville, 
MD 20857. Written comments should be received within 60 days of this 
notice.


[[Page 15890]]


    Dated: March 27, 2007.
Alexandra Huttinger,
Acting Director, Division of Policy Review and Coordination.
 [FR Doc. E7-6089 Filed 4-2-07; 8:45 am]
BILLING CODE 4165-15-P