95-3286. Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) for Clearance
[Federal Register Volume 60, Number 27 (Thursday, February 9, 1995)]
[Notices]
[Page 7774]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-3286]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Public Information Collection Requirements Submitted to the
Office of Management and Budget (OMB) for Clearance
AGENCY: Health Care Financing Administration, HHS.
The Health Care Financing Administration (HCFA), Department of
Health and Human Services, has submitted to OMB the following proposals
for the collection of information in compliance with the Paperwork
Reduction Act (Public Law 96-511).
1. Type of Information Collection: Reinstatement; Type of Review
Requested: Regular submission; Title of Information Collection:
Provider Reimbursement Manual Sections 2721, 2722, and 2725; Form No.:
HCFA-9044; Use: The requirements in the Manual describe justification
for submitting an exception request to ESRD composite rates for
outpatient dialysis services; Respondents: Business or other for
profit, Federal agencies or employees/Non-profit institutions and Small
businesses or organizations; Obligation to Respond: Required to obtain
or retain benefit; Number of Respondents: 400; Total Annual Responses:
400; Total Annual Hours Requested: 19,200.
2. Type of Information Collection: Reinstatement, with change, of a
previously approved collection; Type of Review Requested: Regular
submission; Title of Information Collection: Medicare Home Health
Agency Conditions of Participation; Form No.: HCFA-R-39; Use: Home
Health Agencies to participate in Medicare are required to maintain
this information to show compliance with published health and safety;
Respondents: State or local governments and Business or other for-
profit; Obligation to Respond: Required to obtain or retain benefit;
Number of Respondents: 8,039; Total Annual Responses: 8,039; Total
Annual Hours Requested: 69.498.
Additional Information or Comments: Call the Reports Clearance
Office on (410) 966-5536 for copies of the clearance request packages.
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, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 95-3286 Filed 2-8-95; 8:45 am]
BILLING CODE 4120-03-M
Document Information
- Published:
- 02/09/1995
- Department:
- Health Care Finance Administration
- Entry Type:
- Notice
- Document Number:
- 95-3286
- Pages:
- 7774-7774 (1 pages)
- PDF File:
-
95-3286.pdf