THIS REQUEST IS
APPROVED AS REVISED BY HHS ON 8/27/86.
Inventory as of this Action
Requested
Previously Approved
09/30/1989
09/30/1989
09/30/1986
2,167
0
2,312
117,451
0
208,080
0
0
0
THE COMMUNITY SERVICE ASSURANCE REPORT
PRESENTS INFORMATION ABOUT COMMUNITY SERVICE PROVIDED BY
HILL-BURTON RECIPIENTS. THE PUBLIC HEAL SERVICE ACT (TITLES VI AND
XVI) REQUIRES THAT THIS INFORMATION BE OBTAINED PERIODICALLY TO
ENABLE ASSESSMENT OF THE COMPLIANCE OF RECIPIENT HEALTH FACILITIES
WITH THEIR COMMUNITY SERVICE ASSURANCE.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.