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 for review. Proposed Collection: Title: 09-17-0002, ``IHS Contract Health Service Report''. Type of Information Collection Request: 3-year reinstatement, without change, of previously approved information collection, 0917-0002, ``IHS Contract Health Service Report'' which expires 07/31/01. Form Number: IHS-843-1A, ``Purchase-Delivery Order for Health Services.'' Need 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 serve 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. The table below provides: Type(s) of Data Collection Instruments, Estimated Number of Respondents, Number of Responses per Respondent, Annual Number of Responses, Average Burden Hour per Response, and Total Annual Burden Hour.
- Agencies
- Health and Human Services Department Indian Health Service
- Document Number
- 01-7998
- Published in
- United States of America
