[Federal Register Volume 61, Number 56 (Thursday, March 21, 1996)]
[Notices]
[Pages 11646-11647]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-6751]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
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
[[Page 11647]]
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 agencys 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: Information
Collection Requirements contained in BPD-718: Advance Directives
(Medicare and Medicaid); Form No.: HCFA-R-10; Use: Certain Medicare and
Medicaid organizations are responsible for collecting and documenting,
in medical records, whether or not an individual has executed an
advance directive, this document indicates the individuals preference
if he/she is incapacitated. Frequency: On occasion; Affected Public:
Business or other for-profit, Not-for-profit institutions, Federal
government, and State, local or tribal government; Number of
Respondents: 38,927; Total Annual Responses: 38,927; Total Annual Hours
Requested: 908,250.
To request copies of the proposed paperwork collections referenced
above, call the Reports Clearance Office on (410) 786-1326. Written
comments and recommendations for the proposed information collections
should be sent within 60 days of this notice directly to the HCFA
Paperwork Clearance Officer designated at the following address:
HCFA, Office of Financial and Human Resources, Management Planning and
Analysis Staff, Attention: Louis Blank, Room C2-26-17, 7500 Security
Boulevard, Baltimore, Maryland 21244-1850
Dated: March 13, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources.
[FR Doc. 96-6751 Filed 3-20-96; 8:45 am]
BILLING CODE 4120-03-P
