Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Health Center Program
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Issuing agencies
Abstract
In compliance with the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA's ICR only after the 30-day comment period for this notice has closed.
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<title>Federal Register, Volume 88 Issue 20 (Tuesday, January 31, 2023)</title>
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[Federal Register Volume 88, Number 20 (Tuesday, January 31, 2023)]
[Notices]
[Pages 6284-6286]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-01918]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
[OMB No. 0915-0285--Revision]
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Health Center Program
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: In compliance with the Paperwork Reduction Act of 1995, HRSA
submitted an Information Collection Request (ICR) to the Office of
Management and Budget (OMB) for review and approval. Comments submitted
during the first public review of this ICR will be provided to OMB. OMB
will accept further comments from the public during the review and
approval period. OMB may act on HRSA's ICR only after the 30-day
comment period for this notice has closed.
DATES: Comments on this ICR should be received no later than March 2,
2023.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. Find this particular
information collection by selecting ``Currently under Review--Open for
Public Comments'' or by using the search function.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email Samantha Miller, the HRSA
Information Collection Clearance Officer, at <a href="/cdn-cgi/l/email-protection#abdbcadbced9dcc4d9c0ebc3d9d8ca85ccc4dd"><span class="__cf_email__" data-cfemail="93e3f2e3f6e1e4fce1f8d3fbe1e0f2bdf4fce5">[email protected]</span></a> or call
301-594-4394.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title: Health Center Program Forms
OMB No. 0915-0285--Revision.
Abstract: The Health Center Program, administered by HRSA, is
authorized under Section 330 of the Public Health Service Act (42
U.S.C. 254b). Health centers are community-based and
[[Page 6285]]
patient-directed organizations that deliver affordable, accessible,
quality, and cost-effective primary health care services to patients
regardless of their ability to pay. Nearly 1,400 health centers operate
approximately 14,000 service delivery sites that provide primary health
care to more than 30 million people in every U.S. state, the District
of Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific
Basin. HRSA uses forms for new and existing health centers and other
entities to apply for various grant and non-grant opportunities, renew
grant and non-grant designations, report progress, and change their
scopes of project.
A 60-day notice published in the Federal Register on October 17,
2022, vol. 87, No. 199; pp. 62861. There were no public comments.
Need and Proposed Use of the Information: Health Center Program-
specific forms are necessary for award processes and oversight of the
Health Center Program and other relevant programs. These forms provide
HRSA staff and objective review committee panels with information
essential for application evaluation, funding recommendation and
approval, designation, and monitoring. These forms also provide HRSA
staff with information essential for evaluating compliance with Health
Center Program statutory and regulatory requirements.
HRSA intends to make several changes to its forms:
<bullet> HRSA will modify the following forms to streamline and
clarify data currently being collected: 1A, 1B, 1C, 2, 4, 6A, 8,
Checklist for Adding a New Service, Checklist for Adding a New Service
Delivery Site, Checklist for Adding a New Target Population, Checklist
for Deleting Existing Service, Checklist for Deleting Existing Service
Delivery Site, Expanded Services Patient Impact, Health Center
Controlled Networks Progress Report, Operational Plan, Project
Narrative Update, Project Overview Form, Project Work Plan, and the
Summary Page--Service Area Competition.
<bullet> HRSA will add forms necessary for funding applications and
program monitoring: Applicant Qualification Criteria Form, Financial
Performance Indicators, Funding Request Summary Form, Fiscal Year (FY)
2022 Accelerating Cancer Screening Progress Report, Native Hawaiian
Health Care Improvement Act (NHHCIA) Non-Competing Continuation (NCC)
Clinical and Financial Performance Measures, NHHCIA NCC Income Analysis
Form, NHHCIA NCC Project Work Plan Progress Report, NHHCIA NCC Project
Work Plan Update, Patient Impact Form, Project Cover Page, Progress
Report--Non-Capital Investments, School-Based Health Center Location
Form, Quality Improvement Fund (QIF) Evaluative Measures Report, QIF
Project Plan Form and QIF Progress Report.
<bullet> HRSA will remove forms to further streamline information
collected by HRSA and reduce burden: Clinical Performance Measures,
Diabetes Action Plan, Expanded Services, Financial Performance
Measures, FY 2018 Expanding Access to Quality Substance Use Disorder--
Mental Health Integrated Behavioral Health Services Progress Reporting,
Health Center Program Supplemental Information, HRSA Electronic
Handbooks Action Plan and the Program Specific Form Instructions.
Likely Respondents: Health Center Program award recipients (those
funded under section 330 of the Public Health Service Act) and Health
Center Program look-alikes, state and national technical assistance
organizations, and other organizations seeking funding.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and use technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden--Hours
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Average
Number of Number of Total burden per Total burden
Form name respondents responses per responses response (in hours
respondent hours)
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Applicant Qualification Criteria 500 1 500 1.00 500
Form...........................
Capital Semi Annual Progress 1,317 2 2,634 1.00 2,634
Report.........................
Checklist for Adding a New 450 1 450 2.00 900
Service........................
Checklist for Adding a New 1,480 1 1,480 2.00 2,960
Service Delivery Site..........
Checklist for Adding a New 100 1 100 2.00 200
Target Population..............
Checklist for Deleting Existing 500 1 500 2.00 1,000
Service........................
Checklist for Deleting Existing 750 1 750 2.00 1,500
Service Delivery Site..........
Environmental Information and 750 1 750 .50 375
Documentation..................
Equipment List.................. 1,375 1 1,375 .50 688
Expanded Services Patient Impact 996 1 996 1.00 996
Federal Object Class Categories 735 1 735 .25 184
Form...........................
Financial Performance Indicators 20 1 20 1.00 20
Form 12: Organization Contacts.. 1,058 1 1,058 1.00 1,058
Form 1A: General Information 1,058 1 1,058 1.00 1,058
Worksheet......................
Form 1B: Funding Request Summary 1,000 1 1,000 .75 750
Form 1C: Documents on File...... 1,058 1 1,058 .50 529
Form 2: Staffing Profile........ 1,058 1 1,058 1.00 1,058
Form 3: Income Analysis......... 1,058 1 1,058 1.00 1,058
Form 3A: Look-Alike Budget 50 1 50 1.00 50
Information....................
Form 4: Community 1,058 1 1,058 1.00 1,058
Characteristics................
Form 5A: Services Provided...... 1,058 1 1,058 1.00 1,058
Form 5B: Service Sites.......... 1,058 1 1,058 1.00 1,058
Form 5C: Other Activities/ 1,058 1 1,058 1.00 1,058
Locations......................
Form 6A: Current Board Member 1,058 1 1,058 1.00 1,058
Characteristics................
[[Page 6286]]
Form 6B: Request for Waiver of 1,058 1 1,058 1.00 1,058
Board Member Requirements......
Form 8: Health Center Agreements 1,058 1 1,058 1.00 1,058
Funding Request Summary Form 500 1 500 .50 250
(School-Based Health Center)...
Funding Sources................. 735 1 735 .50 368
FY 2020 Ending the HIV Epidemic 182 1 182 1.00 182
Primary Care HIV Prevention
PCHP Progress Reporting........
FY 2022 Accelerating Cancer 10 1 10 1.50 15
Screening Progress Report......
Health Center Controlled 90 1 90 1.00 90
Networks Progress Report.......
Health Center Program Progress 735 1 735 1.00 735
Report.........................
HRSA Loan Guarantee Program 20 1 20 1.00 20
Application....................
NHHCIA NCC Clinical Performance 6 1 6 1.50 9
Measures.......................
NHHCIA NCC Financial Performance 6 1 6 .50 3
Measures.......................
NHHCIA NCC Income Analysis Form. 6 1 6 .15 1
NHHCIA NCC Project Work Plan 6 1 6 .15 1
Progress Report................
NHHCIA NCC Project Work Plan 6 1 6 .15 1
Update.........................
Operational Plan................ 500 1 500 3.00 1,500
Other Requirements for Sites.... 600 1 600 .50 300
Participating Health Centers 90 1 90 1.00 90
List...........................
Patient Impact Form............. 500 1 500 1.00 500
Patient Target and Calculations. 1,058 1 1,058 1.00 1,058
Progress Report--Non-Capital 1,400 4 5,600 1.50 8,400
Investments....................
Project Cover Page.............. 735 1 735 1.00 735
Project Narrative Update........ 883 1 883 4.00 3,532
Project Overview Form........... 500 1 500 1.00 500
Project Plan.................... 182 3 546 1.50 819
Project Qualification Criteria.. 735 1 735 1.00 735
Project Work Plan............... 135 1 135 4.00 540
Proposal Cover Page............. 735 1 735 1.00 735
QIF Evaluative Measures Report.. 12 1 12 1.50 18
QIF Progress Report............. 12 1 12 1.50 18
QIF Project Plan Form........... 100 1 100 1.00 100
Summary Page (New Access Point). 500 1 500 1.00 500
Summary Page (Service Area 450 1 450 .50 225
Competition)...................
32,798 .............. 39,279 .............. 46,529
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HRSA specifically requests comments on (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions, (2) the accuracy of the
estimated burden, (3) ways to enhance the quality, utility, and clarity
of the information to be collected, and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2023-01918 Filed 1-30-23; 8:45 am]
BILLING CODE 4165-15-P
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