[Federal Register Volume 61, Number 54 (Tuesday, March 19, 1996)]
[Notices]
[Pages 11214-11215]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-6468]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Information Collection Requirements Submitted for Public
Comment and Recommendations
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, 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.
[[Page 11215]]
Type of Information Collection Request: Revision of a currently
approved collection.
Title of Information Collection: Skilled Nursing Facility (SNF) and
Skilled Nursing Facility Health Care Complex Cost Report.
Form No.: HCFA-2540.
Use: The Skilled Nursing Facility and Skilled Nursing Facility
Health Care Complex Cost Report is the cost report to be used by
freestanding SNFs to submit annual information to achieve a settlement
of costs for health care services rendered to Medicare beneficiaries.
Frequency: Annually.
Affected Public: Business or other for profit, not for profit
institutions, and State, local, or tribal government.
Number of Respondents: 7,000.
Total Annual Responses: 7,000.
Total Annual Hours Requested: 1,372,000.
To request copies of the proposed paperwork collections referenced
above, E-mail your request, including your address, 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, DC 20503.
Dated: March 11, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-6468 Filed 3-18-96; 8:45 am]
BILLING CODE 4120-03-P