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[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:

                                                                                                                
----------------------------------------------------------------------------------------------------------------
                                                                            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
                                                             ---------------------------------------------------
    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
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