97-26158. Agency Information Collection Activities: Submission for OMB Review; Comment Request
[Federal Register Volume 62, Number 191 (Thursday, October 2, 1997)]
[Notices]
[Pages 51669-51670]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-26158]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-382]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Health Care Financing Administration, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Health Care Financing
Administration (HCFA), Department of Health and Human Services, is
publishing the following summary of proposed collections for public
comment. Interested persons are invited to send comments regarding this
burden estimate or any other aspect of this collection of information,
including any of the following subjects: (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
[[Page 51670]]
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.
Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: ESRD Beneficiary
Selection and Supporting Regulations Contained in 42 CFR 414.330; Form
No.: HCFA-382 (OMB# 0938-0372); Use: ESRD facilities have each new home
dialysis patient select one of two methods to handle Medicare
reimbursement. The intermediaries pay for the beneficiaries selecting
Method I and the carriers pay for the beneficiaries selecting Method
II. This system was developed to avoid duplicate billing by both
intermediaries and carriers. Frequency: Other (One time only); Affected
Public: Individuals or Households, Business or other for-profit, and
Not-for-profit institutions; Number of Respondents: 3,100; Total Annual
Responses: 3,100; Total Annual Hours: 259.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, E-mail your
request, including your address and phone number, to
Paperwork@hcfa.gov, or call the Reports Clearance Office on (410) 786-
1326. Written comments and recommendations for the proposed information
collections must be mailed within 30 days of this notice directly to
the OMB desk officer: OMB Human Resources and Housing Branch,
Attention: Allison Eydt, New Executive Office Building, Room 10235,
Washington, D.C. 20503.
Dated: September 24, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards.
[FR Doc. 97-26158 Filed 10-1-97; 8:45 am]
BILLING CODE 4120-03-P
Document Information
- Published:
- 10/02/1997
- Department:
- Health Care Finance Administration
- Entry Type:
- Notice
- Document Number:
- 97-26158
- Pages:
- 51669-51670 (2 pages)
- Docket Numbers:
- HCFA-382
- PDF File:
-
97-26158.pdf