[Federal Register Volume 62, Number 73 (Wednesday, April 16, 1997)]
[Notices]
[Pages 18638-18639]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-9721]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-2552, HCFA-R-88]
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.
1. Type of Information Collection Request: Extension 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; Use: This form is
[[Page 18639]]
required by statute and regulation for participation in the Medicare
program. The information 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.
2. Type of Information Collection Request: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Information Collection
Requirements in HCFA Pub 14-3 Section 2120.1-2125 and Section 4115 of
the Carriers Manual (HCFA-R-88); Use: Verification of ambulance
compliance with State and Local requirements is necessary to determine
whether the ambulance qualifies for reimbursement under Medicare.
Carriers require ambulances providing service to Medicare beneficiaries
to submit documentation showing that they have the required equipment.
Frequency: On occasion; Affected Public: Business or other for-profit;
Number of Respondents: 100; Total Annual Hours: 25.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's Web Site Address
at http://www.hcfa.gov/regs/prdact95.htm, or to obtain the supporting
statement and 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 Financial
and Human Resources, Management Analysis and Planning Staff, Attention:
Louis Blank, Room C2-26-17, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: April 7, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources.
[FR Doc. 97-9721 Filed 4-15-97; 8:45 am]
BILLING CODE 4120-03-P
