[Federal Register Volume 63, Number 24 (Thursday, February 5, 1998)]
[Notices]
[Page 5958]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-2861]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-2728]
Agency Information Collection Activities: Proposed Collection;
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, is
publishing the following summary of proposed collections for public
comment. 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.
Type of Information Collection Request: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: End Stage Renal Disease
Medical Evidence Report Medicare Entitlement and/or Patient
Registration; Form No.: HCFA-2728; Use: This form captures the
necessary medical information required to determine Medicare
eligibility of an end stage renal disease claimant. It also captures
the specific medical data required for research and policy decisions on
this population as required by law. Frequency: Quarterly, Weekly, Semi-
annually, Monthly, and Annually; Affected Public: Individuals or
Households; Number of Respondents: 60,000; Total Annual Responses:
60,000; Total Annual Hours: 25,000.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, or 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 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: John Rudolph, Room C2-26-17, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: January 27, 1998.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards,
Health Care Financing Administration.
[FR Doc. 98-2861 Filed 2-4-98; 8:45 am]
BILLING CODE 4120-03-P
