Motivated by the measurement of redshifted Fe H lines during type I X-ray bursts on EXO 0748À676 (Cottam, Paerels, & Mendez), we study the formation of atomic Fe lines above the photosphere of a bursting neutron star (k B T eA % 1 2 keV). We discuss the effects of Stark broadening, resonant scattering, and NLTE (level population) on the formation of hydrogenic Fe H, Ly, and Pa lines. From the observed equivalent width (EW) of the Fe H line, we find an implied Fe column of 1 3 ð Þ; 10 20 cm À2 , which is 3-10 times larger than the Fe column calculated from the accretion/spallation model of Bildsten, Chang, & Paerels. We also estimate that the implied Fe column is about a factor of 2-3 larger than a uniform solar metallicity atmosphere. We discuss the effects of rotational broadening and find that the rotation rate of EXO 0748À676 must be slow, as confirmed by the recent measurement of a 45 Hz burst oscillation by Villareal & Strohmayer. We also show that the Fe Ly EW % 15 20 eV (redshifted 11-15 eV) and the Pa EW % 4 7 eV (redshifted 3-5 eV) when the H EW is 10 eV (redshifted 8 eV). The Ly line is rotationally broadened to a depth of %10%, making it difficult to observe with Chandra. We also show that radiative levitation can likely support the Fe column needed to explain the line.