[Federal Register Volume 61, Number 227 (Friday, November 22, 1996)]
[Notices]
[Pages 59451-59452]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-29848]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-190, HCFA-R-96]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
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, has
submitted to the Office of Management and Budget (OMB) the following
proposal for the collection of information. Interested persons are
invited to send comments regarding the 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 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.
1. Type of Information Collection Request: New collection; Title of
Information Collection: Hospital Standard for Potentially HIV
Infectious Blood and Blood Products, 42 CFR 482.27; Form No.: HCFA-R-
190; Use: Hospitals must establish policies/procedures and document
patient notification efforts if they have administered potentially HIV
infectious blood and blood products.
Frequency: On occasion; Affected Public: Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 16;
Total Annual Responses: 16; Total Annual Hours Requested: 16.
2. Type of Information Collection Request: Extension of currently
approved collection; Title of Information Collection: Emergency and
Foreign Hospital Services--Beneficiary Statement In Canadian Travel
Claims and Supporting Regulation 42 CFR 424.123; Form No.: HCFA-R-96;
Use: This form is completed by beneficiaries, representative, or
assignees to support claims for payments for Medicare covered emergency
services provided in Canada. 42 CFR 424.123 is the regulation
supporting this collection of information; Frequency: On occasion;
Affected Public: Individuals or households; Number of Respondents:
1,100; Total Annual Responses: 1,100; Total Annual Hours: 275.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS
at http://www.hcfa.gov, or to obtain the supporting statement and any
related forms, 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
[[Page 59452]]
within 30 days of this notice directly to the HCFA Paperwork Clearance
Officer designated at the following address: OMB Human Resources and
Housing Branch, Attention: Allison Eydt, New Executive Office Building,
Room 10235, Washington, D.C. 20503.
Dated: November 15, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-29848 Filed 11-21-96; 8:45 am]
BILLING CODE 4120-03-P
