[Federal Register Volume 63, Number 69 (Friday, April 10, 1998)]
[Notices]
[Pages 17877-17878]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-9456]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-2088, HCFA-2540, and HCFA-2552]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Health Care Financing Administration.
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 this
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.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Outpatient
Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20
and 413.24 Form No.: HCFA-2088 (0938-0037); Use: This form is used by
Outpatient Rehabilitation Facilities to report their health care costs
to determine the amount reimbursable for services furnished to Medicare
beneficiaries. In addition, the
[[Page 17878]]
fiscal intermediary uses the cost report to make settlement with the
provider for the cost reporting period. Frequency: Annually; Affected
Public: Business or other for-profit, Not-for-profit institutions, and
State, Local or Tribal Government; Number of Respondents: 4,298; Total
Annual Responses: 4,298; Total Annual Hours: 429,800.
2. 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, 42 CFR 413.20 and 413.24; Form No.: HCFA-2540 (0938-0463); Use:
The Skilled Nursing Facility and Skilled Nursing Facility Health Care
Complex Cost Report is used by freestanding SNFs to submit annual
information to achieve a settlement of costs for health care services
rendered to Medicare beneficiaries. In addition, the fiscal
intermediary uses the cost report to make settlement with the provider
for the fiscal year. 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.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Hospital and
Hospital Health Care Complex Cost Report, 42 CFR 413.20 and 413.24;
Form No.: HCFA-2552-96 (OMB No. 0938-0050); Use: This form is required
by statute and regulation for participation in the Medicare program. It
is used to determine final payment for Medicare. Hospitals and related
complexes are the main users. 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: 4,599,000.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access HCFA's
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail
your request, including your address, phone number, OMB number, and
HCFA document identifier, 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: Louis Blank,
Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: April 2, 1998.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards.
[FR Doc. 98-9456 Filed 4-9-98; 8:45 am]
BILLING CODE 4120-03-P