[Federal Register Volume 62, Number 213 (Tuesday, November 4, 1997)]
[Notices]
[Pages 59714-59715]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-29143]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-9044]
Agency Information Collection Activities: Proposed Collection;
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 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: Provider
Reimbursement Manual, Part 1--Chapter 27, Section 2721, 2722 and 2725,
Request for Exception to ESRD Composite Rates and Supporting
Regulations in 42 CFR 413.170; Form No.: HCFA-9044 (OMB #0938-0296);
Use: Sections 2721, 2722 and 2525 of the Provider Reimbursement Manual
describe the information ESRD facilities
[[Page 59715]]
must submit in justifying an exception request to their composite rate
for outpatient dialysis services.; Frequency: On occasion; Affected
Public: Business or other for-profit, Not-for-profit institutions and
Federal Government; Number of Respondents: 275; Total Annual Responses:
275; Total Annual Hours: 13,200.
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, phone number, OMB number, and HCFA
document identifier, 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 60 days of this notice directly to the HCFA Paperwork Clearance
Officer designated at the following address: HCFA, Office of
Information Services, Information Technology Investment Management
Group, Division of HCFA Enterprise Standards, Attention: Louis Blank,
Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: October 28, 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. 97-29143 Filed 11-3-97; 8:45 am]
BILLING CODE 4120-03-P
