Notice2026-12046
Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request; Health Resources and Services Administration Uniform Data System
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
June 16, 2026
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
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.
Full Text
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<title>Federal Register, Volume 91 Issue 115 (Tuesday, June 16, 2026)</title>
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[Federal Register Volume 91, Number 115 (Tuesday, June 16, 2026)]
[Notices]
[Pages 36146-36150]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-12046]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request; Health Resources and
Services Administration Uniform Data System
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 July 16,
2026.
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#cbbbaabbaeb9bca4b9a08ba3b9b8aae5aca4bd"><span class="__cf_email__" data-cfemail="e39382938691948c9188a38b919082cd848c95">[email protected]</span></a> or call
(301) 443-3983.
SUPPLEMENTARY INFORMATION: Information Collection Request Title: Health
Resources and Services Administration Uniform Data System, OMB No.
0915-0193--Revision.
Abstract: The Health Center Program, administered by HRSA, is
authorized under section 330 of the Public Health Service (PHS) Act (42
U.S.C. 254b). Health centers are community-based and patient-directed
organizations that deliver affordable, accessible, quality, and cost-
effective primary health care services to patients on a sliding fee
based on income and family size. Nearly 1,400 health centers operate
more than 16,200 service delivery sites that provide primary health
care to over 32 million people in every U.S. state, the District of
Columbia, Puerto Rico, the U.S. Virgin Islands, and the Pacific Basin.
HRSA uses the Uniform Data System (UDS) for required annual
reporting of program-specific data by Health Center Program awardees
(those funded under section 330 of the PHS Act), Health Center Program
look-alikes (entities meeting requirements of, but not funded under,
section 330 of the PHS Act), and Nurse Education, Practice, Quality and
Retention (NEPQR) and Advanced Nursing Education (ANE) Program awardees
(specifically those funded under the practice priority areas of
sections 831(b) and 811 of the PHS Act).
Some NEPQR and ANE Program awardees establish and expand nursing
practice arrangements in non-institutional settings to demonstrate
methods to improve access to primary health care in medically
underserved communities. Nursing grantees implementing nursing practice
arrangements have historically used the same data collection system as
the Health Center Program.
A 60-day notice published in the Federal Register on December 10,
2025, vol. 90, No. 235; pp. 57205-57208. There were 16 public comments.
Below is a summary of key themes raised in the comments and HRSA's
responses:
<bullet> Maintain COVID-related measures (Two comments):
[cir] Stakeholders recommended reconsideration of the proposed removal
of several COVID-related measures in Table 6A: Selected Diagnoses and
Services Rendered, including Respiratory conditions related to COVID-
19, Long COVID, Novel coronavirus (SARS-CoV-2) disease, Novel
coronavirus (SARS-CoV-2) diagnostic test, and Novel coronavirus (SARS-
CoV-2) antibody test, emphasizing the importance of continued tracking
for surveillance, resource allocation, and monitoring impacts on
special medically underserved populations. Of the five COVID-related
measures currently included in the 2025 UDS, HRSA will retain two
measures in response to stakeholder feedback, while three measures will
be removed as part of broader streamlining efforts.
<bullet> Recognize Psychiatric Mental Health Nurse Practitioners
(PMHNP) distinctly (One comment):
[cir] One stakeholder requested to specify PMHNPs separately in Table
5: Staffing and Utilization due to their significant role in delivering
mental health services and managing high patient volume. In response to
this feedback, PMHNPs will be added to Table 5, line 20b, under Other
Licensed Mental Health Providers.
<bullet> Include additional case management codes (Two comments):
[cir] Commenters also requested enhancements to the Case Management
codes under Table 6A: Patient Support Services to include Advance
Primary Care Management codes (G0556, G0557, G0558) and T1016, to
capture broader case management services beyond Medicare. Based on
stakeholder feedback, these codes will be added to Table 6A, line 35,
Case Management.
<bullet> Adjust Substance Use Disorder Initiation/Engagement
electronic clinical quality measure (eCQM) for health center realities
(Two comments):
[cir] Commenters recommended reconsideration of the substance use
disorder (SUD) measure, Initiation and Engagement of SUD Treatment,
which was introduced in the 2025 UDS instrument. Stakeholders noted
that the current eCQM does not align with health center data
capabilities, resulting in misclassification of ongoing SUD treatment
and understated health center performance. Commenters specifically
[[Page 36147]]
noted the reporting challenges with the measure's definition of a ``new
SUD episode,'' which does not account for care received outside the
health center and may inadvertently include patients in the
denominator. Commenters also expressed that due to scope-of-practice
limitations and operational challenges, there may be constraints in
meeting the initiation and engagement timeframes outlined in the
measure.
As 2025 was the first year of implementation for the SUD eCQM, HRSA
recognizes that health centers may require time to fully operationalize
workflows and reporting processes. HRSA will continue to provide
technical assistance, monitor implementation, and assess the measure's
ongoing relevance as additional data becomes available. Regarding
proposed changes to the specifications for a measure, reporting
specifications are set by the measure steward and cannot be modified.
Measure stewards for each UDS clinical quality measure are listed in
Appendix G of the forthcoming 2026 UDS Manual, which HRSA plans to
release in summer 2026.
<bullet> General objection to proposed changes (One comment):
[cir] One commenter expressed the need for transparency regarding the
rationale for proposed measurement changes. HRSA maintains open
communication channels (e.g., all-programs webcasts, newsletters,
tailored technical assistance calls) and will continue to provide
technical assistance on UDS reporting to ensure stakeholders understand
the rationale and best practices for implementing UDS instrument
changes.
<bullet> Support for overall UDS streamlining/burden reduction (Six
comments):
[cir] Commenters conveyed broad approval and support for HRSA's
proposed measurement alignment, elimination, and simplification
efforts, noting that these changes are expected to meaningfully reduce
administrative reporting burden.
<bullet> Consideration regarding mental health and substance use
disorder tracking (Three comments):
[cir] In response to the proposed removal of Table 5: Selected Services
Detail Addendum, stakeholders requested that the decision be
reconsidered, noting potential underreporting of integrated mental
health and substance use disorder services that are delivered by non-
psychiatric and non-licensed professional counselor providers.
Additionally, stakeholders expressed that the removal of the Selected
Services Detail Addendum would impair accurate performance assessment
and collaborative care tracking. HRSA maintains that the measures in
this section are not used to assess compliance with grant performance
requirements, and related reporting in the main part of Table 5 would
remain unchanged. Given areas of duplication, HRSA is exploring ways to
capture unduplicated data on integrated care for a future iteration of
the UDS instrument.
<bullet> Patient support services and upstream drivers of health
reporting implications: (Two comments):
[cir] Commenters applauded the transition of patient support services
and upstream drivers of health measures from the appendices to Table
6A: Selected Services and Diagnosis Rendered but identified potential
challenges of these additions if certified health information
technology cannot automate extraction, leading to an increase in
administrative and operational burden. As with any new reporting
requirement, HRSA anticipates an initial transition period and will
continue to provide technical assistance and guidance to support
implementation. HRSA will monitor early reporting experience to assess
burden and inform future refinements in 2027.
<bullet> Lifestyle Medicine proposals (One comment):
[cir] One commenter recommended incorporating lifestyle measures into
the UDS instrument to strengthen preventative care and whole-person
health. The stakeholder specifically proposed a variety of related
measures reflecting upstream risks and outcomes, standardized lifestyle
medicine assessments, Type 2 diabetes remission, deprescribing
outcomes, and community support. HRSA appreciates the thoughtful
suggestion and will evaluate these recommendations for alignment with
Administration and HRSA priorities for a future UDS instrument.
<bullet> Financial and Service Reporting Transparency (Two
comments):
[cir] Commenters requested reconsideration of the removal of grant-
level reporting in Table 9E: Other Revenue and the consolidation of
line items in Table 8A: Financial Costs. Commenters noted that
maintaining grant-level reporting is necessary to promote transparency
and accountability by demonstrating how federal resources are used to
support health centers. Further, it was noted that the proposed
consolidation and removal of Table 8A line items will reduce visibility
into critical health center services. HRSA notes that these removals
reflect an effort to reduce reporting burden by modernizing and
streamlining the instrument and eliminating redundancies where
comparable data may be collected in other grant financial reporting
forms, including Health Center Program Forms (OMB No. 0915-0285-
Revision).
<bullet> Desire to retain multiple Table 6A clinical measures (One
comment):
[cir] One stakeholder expressed a desire to retain several Table 6A:
Selected Diagnoses and Services Rendered measures, including abnormal
breast cancer and cervical cancer findings, contact dermatitis and
other eczema, mammograms, Pap tests, sealants, and oral surgery. HRSA
is removing these measures from Table 6A due to redundancies where
similar information is captured elsewhere in the UDS instrument. For
example, the abnormal breast cancer findings measure is also similarly
reflected in Table 6B's Breast Cancer Screening measure (CMS125v13).\1\
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\1\ eCQI Resource Center. (2025). Breast cancer screening
(CMS125v13). U.S. Department of Health and Human Services, Office of
the National Coordinator for Health Information Technology. <a href="https://ecqi.healthit.gov/ecqm/ec/2025/cms0125v13">https://ecqi.healthit.gov/ecqm/ec/2025/cms0125v13</a>.
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<bullet> Clarifications on Tables 8A/9D/9E (Three comments):
[cir] Commenters also expressed the need for additional reporting
guidance clarification across multiple tables, including tables 8A, 9D,
and 9E, particularly related to managed care dynamics, including
treatment of insured patient copays in payer mix. HRSA will provide
detailed reporting instructions for the relevant tables, consistent
with standard practice, in the forthcoming 2026 UDS Manual release,
which HRSA plans to release in summer 2026.
Need and Proposed Use of the Information: HRSA requires the
collection of information through UDS to monitor and evaluate the
performance of health centers under section 330 and select NEPQR and
ANE recipients under sections 831(b) and 811 of the PHS Act. These data
support program compliance, inform quality improvement initiatives,
guide the delivery of technical assistance, and shape federal health
program decisions. To keep this instrument relevant and
[[Page 36148]]
responsive to the Health Center Program's needs and Administration
priorities, periodic updates are essential. This includes adjustments
to the proposed measures made during the internal HRSA review and
approval process used to finalize the proposed measures for submission
to OMB. The purpose of these updates is to capture the breadth of
integrated primary care services offered by health centers. Measures
that were added during the internal HRSA review and approval process
are signified by an asterisk (*) in the list below.
HRSA proposes to make the following updates for the performance
year 2026 UDS data collection (note: measures to be removed refer to
the line in the 2025 UDS):
Table 4: Selected Patient Characteristics
Removal
<bullet> Managed Care Utilization--UDS measures associated with
managed care member months, Capitated Member Months, Fee-for-Service
Member Months, and Total Member Months (Lines 13a--13c) will be removed
to reduce the reporting burden, given the variations in payer
structures and payment arrangements across health centers.
Table 5: Staffing and Utilization and Selected Service Detail Addendum
*
Removal
<bullet> Selected Service Detail Addendum--Detailed reporting
elements related to integrated mental health and substance use disorder
service delivery (Lines 20a01--21h) will be removed to streamline
reporting and reduce burden on health centers. Mental health and
substance use disorder services will continue to be reported in the
core part of Table 5.
Addition
<bullet> Staffing and Utilization--Specific mental health personnel
types, including PMHNPs, will be added as drop-down options to Line
20b, Other Licensed Mental Health Providers. This addition will allow
for more accurate classification of licensed mental health providers
and better reflect the composition of the behavioral health workforce.
Table 6A: Selected Diagnoses and Services Rendered
Removals
<bullet> Various Clinical Measures--Clinical measures associated
with various diagnoses and selected services rendered are being removed
from Table 6A to streamline reporting, reduce burden, and eliminate
potential redundancies where similar information is captured elsewhere
in the UDS. The specific measures proposed for removal are indicated
below:
<bullet> Respiratory conditions related to COVID-19 (Line 6a)
<bullet> Abnormal breast findings, female (Line 7)
<bullet> Abnormal cervical findings (Line 8)
<bullet> Contact dermatitis and other eczema (Line 12)
<bullet> Novel coronavirus (SARS-CoV-2) diagnostic test (Line 21c)
<bullet> Novel coronavirus (SARS-COV-2) antibody test (Line 21d)
<bullet> Mammogram (Line 22)
<bullet> Pap test (Line 23)
<bullet> Sealants (Line 30)
<bullet> Oral surgery (extractions and other surgical procedures) (Line
33)
<bullet> Rehabilitative services (Endo, Perio, Prostho, Ortho) (Line
34)
As mentioned above, because of feedback received during the 60-day
comment period, HRSA added ``Novel coronavirus (SARS-CoV-2) disease
(Line 4c)'' and ``Long COVID (Line 4d)'' back into Table 6A.
Additions
<bullet> Type I Diabetes--A new measure is being added as line 9a
to identify the number of patients with Type 1 Diabetes. This addition
will help address key data gaps and improve HRSA's understanding of the
distinct care and resource needs of patients with Type 1 Diabetes.
<bullet> Intellectual and Developmental Disabilities--A new measure
is being added as line 20g to capture the number of patients with
intellectual and developmental disabilities. Available data indicate
that this population may experience lower rates of access to preventive
and chronic care, including fewer screenings, lower utilization of
dental care, and higher rates of undiagnosed or unmanaged conditions.
Capturing this information will improve understanding of the prevalence
of persons with intellectual and developmental disabilities in the
Health Center Program and support efforts to enhance health care access
and quality of care for individuals who require complex, coordinated
services.
<bullet> Autism Spectrum Disorder Screening--A new measure is being
added as line 26g to capture the number of patients screened for autism
spectrum disorder. This measure will help assess the extent to which
health centers are implementing recommended developmental screening
practices and connecting children and families to needed support
services.
<bullet> Patient Support Services--Four new measures are being
added as lines 35-38 to capture the number of patients receiving case
management, eligibility assistance, transportation, and language
assistance services to better understand the range of non-clinical
services that facilitate access to care and contribute to improved
patient outcomes.
<bullet> Upstream Drivers of Health--Four new measures are being
added as lines 39-42, transitioning from Appendix D to the UDS core
tables, to identify the number of patients who are screened for, and
who receive, services addressing upstream drivers of health. These or
similar measures are now being elevated to the core reporting set to
support standardized data collection. Integrating these measures within
the core tables will enhance the ability to monitor how health centers
identify and address patients' access to and utilization of services.
Table 6B: Quality of Care Measures *
Additions
<bullet> Fall Risk Screenings--One new measure is being added as
line 24 to capture the number of patients 65 years of age and older who
were screened for future fall risk, in alignment with eCQM
CMS139v14.\2\ Incorporating a fall risk screening measure aligns the
UDS with national quality and preventive care efforts, including
routine fall risk assessments conducted during Medicare Initial and
Annual Wellness Visits.\3\ This alignment supports harmonization across
federal programs, enables HRSA to better understand the needs and
resources required to support the growing aging population served by
the Health Center Program and inform technical assistance for health
centers.
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\2\ eCQI Resource Center. (2026). Falls: Screening for future
fall risk (CMS0139v14). U.S. Department of Health and Human
Services, Office of the National Coordinator for Health Information
Technology. <a href="https://ecqi.healthit.gov/ecqm/ec/2026/cms0139v14">https://ecqi.healthit.gov/ecqm/ec/2026/cms0139v14</a>.
\3\ Centers for Medicare & Medicaid Services. (2026). Initial
preventive physical exam. U.S. Department of Health and Human
Services. <a href="https://www.cms.gov/medicare/coverage/preventive-services/medicare-wellness-visits/initial-preventive-physical-exam">https://www.cms.gov/medicare/coverage/preventive-services/medicare-wellness-visits/initial-preventive-physical-exam</a>.
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Table 6B: Quality of Care Measures and Table 7: Health Outcomes
Updates
<bullet> Clinical Quality Measures--Tables 6B and 7 collect UDS
clinical quality measures, and where applicable, clinical quality
measures will be updated in alignment with specifications of the issued
performance year 2026 electronic clinical quality measures. These
specifications were
[[Page 36149]]
released by the Centers for Medicare & Medicaid Services on May 8,
2025, for use by eligible providers. Aligning clinical performance
measures across national programs promotes data standardization,
quality, and transparency, and decreases the reporting burden for
providers and organizations participating in multiple federal programs.
Table 8A: Financial Costs
Removals
<bullet> Allocation of Facility and Non-Clinical Support Services--
Allocation of Facility and Non-Clinical Support Services, Column B, and
the requirement to report overhead costs on Table 8A will be removed.
<bullet> Enabling Services--Costs of each type of enabling service
(Lines 11a, 11b, 11c, 11d, 11e, 11f, 11g, and 11h) will be removed.
These costs will be consolidated into a single line to reflect all
Patient Support Services costs (Line 11) (previously known as Enabling
Services).
<bullet> Donations--Line 18, Value of Donated Facilities, Services,
and Supplies (specify), will be removed.
These updates are being made to reduce the reporting burden and
address stakeholder feedback.
Table 9D: Accrued Patient Service Revenue
Removals
<bullet> Retroactive Settlements, Receipts, and Paybacks--revenue
associated with Columns c1--c4 for classification of types of
collections will be removed:
<bullet> Collection of Reconciliation/Wraparound Current Year (c1)
<bullet> Collection of Reconciliation/Wraparound Previous Years (c2)
<bullet> Collection of Other Payments: Pay for Performance, Risk Pools,
etc. (c3)
<bullet> Penalty/Payback (c4)
These collections will be consolidated into a single column to
reflect all Collections (Column B).
<bullet> Payer Category--Form of payment (non-managed care,
capitated managed care, and fee-for-service managed care) lines have
been collapsed into a single total line by the third-party payer. Total
Medicaid (Line 3), Total Medicare (Line 6), Total Other Public
(specify) (Line 9), and Total Private (Line 12) will be reported, and
the following lines will be removed as a result:
<bullet> Medicaid Non-Managed Care (Line 1)
<bullet> Medicaid Managed Care (capitated) (Line 2a)
<bullet> Medicaid Managed Care (fee-for-service) (Line 2b)
<bullet> Medicare Non-Managed Care (Line 4)
<bullet> Medicare Managed Care (capitated) (Line 5a)
<bullet> Medicare Managed Care (fee-for-service) (Line 5b)
<bullet> Other Public, including Non-Medicaid Children's Health
Insurance Program (CHIP), Non-Managed Care (Line 7)
<bullet> Other Public, including Non-Medicaid CHIP, Managed Care
(capitated) (Line 8a)
<bullet> Other Public, including Non-Medicaid CHIP, Managed Care (fee-
for-service) (Line 8b)
<bullet> Private Non-Managed Care (Line 10)
<bullet> Private Managed Care (capitated) (Line 11a)
<bullet> Private Managed Care (fee-for-service) (Line 11b)
<bullet> Sliding Fee *--Sliding fee associated with Line 13, Column
E for classification of sliding fee discounts provided to patients has
been collapsed into the existing single total Self-Pay line (Line 13)
and will be reported as Adjustments (Column D).
<bullet> Patient Bad Debt *--Bad debt write-off associated with
patients previously reported in Line 13, Column F has been removed and
will be reported with all third-party payer bad debt write-offs and
allowances (Line 15, Column G).
These updates are being made to reduce the reporting burden and
address stakeholder feedback.
Additions
<bullet> Bad Debt Write-Offs and Allowances *--A new line will be
added as an offset to Net Patient Service Revenue for accrued Bad Debt
Write-Offs and Allowances (Line 15, Column G).
<bullet> Net Patient Services Revenue--A new column and line will
be added for Net Patient Service Revenue (Charges Less Adjustments)
(Line 16, Column G).
<bullet> Pharmacy Net Patient Service Revenue--A new line will be
added to reflect all Pharmacy Net Patient Service Revenue (Line 17,
Column G).
<bullet> Third-Party Incentive Revenue--A new line will be added to
reflect all Third-Party Incentive Revenue (Line 18, Column G).
These updates are being made to reduce reporting burden and to
better assess financials in alignment with generally accepted
accounting principles and health centers' financial statements.
Table 9E: Other Accrued Revenue
Removals
<bullet> HRSA's Bureau of Primary Health Care (BPHC) Grants--Health
Center Program grant funding sources (formerly Lines 1a--1e) and other
BPHC funding detail lines (formerly Lines 1k--1q) will be removed.
Grants with active funding will be aggregated and reported on a single,
total line: Total Health Center BPHC Grants (Line 1).
<bullet> Other Federal Grants--Specific federal grant funding
sources (formerly Lines 2, 3, and 3a) will be removed. All non-BPHC
federal grants will be reported on Line 5, Total Other Federal Grants
(specify).
These updates are being made to align with supplemental funding
being rolled into the base Health Center Program funding, remove
outdated supplemental funding lines, reduce the reporting burden, and
to better assess financials in alignment with generally accepted
accounting principles and health centers' financial statements.
Appendix D: Health Center Information Technology (Health IT)
Capabilities and Appendix E: Other Data Elements
Removals
<bullet> Appendix D: Health IT Capabilities--Several questions
specific to Electronic Health Records implementation (Questions 1a,
1a2, 1a3, 1c, 1c1, and 10) will be removed from Appendix D.
<bullet> Appendix D: Health IT Capabilities--Upstream drivers of
health screening questions (Questions 11, 11a, 12, 12a, and 12b)
will be removed from Appendix D.
<bullet> Appendix E: Other Data Elements--Appendix E will be
removed, and certain data elements will be combined with Appendix D.
Outreach and enrollment assists (formerly Appendix E, Question 3)
will be removed (aspects will be incorporated in the Table 6A
Patient Support Services addition).
These updates are being made to reduce the reporting burden and
address stakeholder feedback.
Additions
<bullet> Appendix D: Health Center IT Capabilities and Other
Data Elements--Three questions on Alternative Payment Models (APM)
will be added to Appendix D (Questions 17--19), to include:
<bullet> What payor arrangements do you have for value-based
purchasing contracts?
<bullet> Please list the types of APMs your health center is
involved in.
<bullet> What percentage of your health center's revenue during the
year is tied to value-based payment contracts?
HRSA is adding new data elements to capture health centers'
participation in APMs to improve understanding of the evolving
payment landscape within the Health Center Program. As health
centers increasingly engage in payment arrangements that emphasize
value, care coordination, and outcomes, collecting information on
APM participation will provide valuable insight into the range and
scope of these models and inform technical assistance to support
health centers' adoption of APMs.
<bullet> Appendix D: Health IT Capabilities *--One question
addressing the provision of sex rejecting services and procedures in
health
[[Page 36150]]
centers will be added to Appendix D (Question 20), to include:
<bullet> For individuals under 19 years of age, does your health
center provide services that use puberty blockers, sex hormones, or
surgical procedures for the purpose of transforming their physical
appearance to align with an identity that differs from their sex?
Puberty blockers may include GnRH agonists and other interventions,
to delay the onset or progression of normally timed puberty in an
individual. Sex hormones may include androgen blockers, estrogen,
progesterone, or testosterone. Surgical procedures may include
alteration or removal of an individual's sex organs.
HRSA is making these updates to Appendix D based on internal
agency review and approval processes to capture the breadth of
integrated primary care services offered by health centers.
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 utilize 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.
In 2026, the estimated total burden hours for this ICR are
approximately 304,616 hours, compared to 2025, when the burden was
estimated at 377,317 hours--a decrease of approximately 72,701 hours
collectively across health centers or an average of 42 hours per
health center. This decrease is primarily attributable to HRSA's
streamlining efforts, which were undertaken to reduce provider
burden.
The total annual burden hours estimated for this ICR are
summarized in the table below.
Total Estimated Annualized Burden Hours
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Number of Average burden
Form name Number of responses per Total per response Total burden
respondents * respondent responses (in ours) hours
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UDS--Universal Report........... 1,596.00 1.00 1,596.00 184.20 293,983.20
UDS Grant Report................ 419.00 1.22 511.18 20.80 10,632.54
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Total....................... 2,015.00 .............. 2,107.18 .............. 304,615.74
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* The estimated number of respondents for the Universal Report consists of 1,356 Health Center Program
recipients, 170 Health Center Look-alikes, and 70 NEPQR and ANE recipients. The estimated number of
respondents for the ``Grant Report'' is based on the number of reports submitted by health centers in 2025:
337 (one report), 71 (two reports), 11 (three reports).
Amy P. McNulty,
Deputy Director, Executive Secretariat.
[FR Doc. 2026-12046 Filed 6-15-26; 8:45 am]
BILLING CODE 4165-15-P
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This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.