[Federal Register Volume 62, Number 29 (Wednesday, February 12, 1997)]
[Notices]
[Page 6550]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-3498]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-9026]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Health Care Financing Administration, HHS. In compliance with
the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.), the
Health Care Financing Administration (HCFA), Department of Health and
Human Services, has submitted to the Office of Management and Budget
(OMB) the following proposals 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.
HCFA-9026 Type of Information Collection Request: Reinstatement,
without change, of previously approved collection for which approval
has expired; Title of Information Collection: Intermediary Request to
Hospitals for Medical Information on Inpatient Claims for Statutorily
Excluded Services/SSA 1862; 42 CFR 411.15; FR Vol. 60, No. 181; Form
No.: HCFA-9026; Use: This information request is to enable
intermediaries to obtain hospital medical records for inpatient claims
involving statutorily excluded services and other non-covered services
and devices. 42 CFR 411.15 is the regulation supporting this collection
of information; Frequency: On occasion; Affected Public: Business or
other for profit, not for profit institutions, State, local, or tribal
governments, Federal government; Number of Respondents: 5,258; Total
Annual Responses: 20,355; Total Annual Hours: 5,088.
To obtain copies of 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 should be sent within 30 days of this notice directly to
the OMB Desk 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: February 3, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-3498 Filed 2-11-97; 8:45 am]
BILLING CODE 4120-03-P
