[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 
----------------------------------------------------------------------------------------------------------------
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: <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="1d717572797c75766a5d3374756e337a726b33">[email protected]</a>

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


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