[Federal Register Volume 61, Number 78 (Monday, April 22, 1996)]
[Notices]
[Pages 17710-17711]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-9768]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-79, HCFA-R-43, HCFA-222]
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 summaries of proposed collection 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.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Payment
Adjustment for Sole Community Hospitals; Form No.: HCFA-R-79; Use:
Hospitals designated as ``Sole Community Hospitals'' that experience a
five percent decrease in discharges in one cost reporting period, as
compared to the previous period, due to unusual circumstances, beyond
its control, may request an adjustment to its Medicare payment amount.
Frequency: On
[[Page 17711]]
occasion; Affected Public: Business or other for-profit, Not-for-profit
institutions, and State, local or tribal government; Number of
Respondents: 40; Total Annual Responses: 40; Total Annual Hours
Requested: 160.
2. Type of Information Collection Request: Reinstatement, with
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Conditions of Participation
for Portable X-ray Suppliers (42 CFR 405 Subpart N); Form No.: HCFA-R-
43; Use: This information is needed to determine if portable X-ray
suppliers are in compliance with published health and safety
requirements. Frequency: Annually; Affected Public: Business or other-
for-profit; Number of Respondents: 554; Total Annual Responses: 554;
Total Annual Hours Requested: 1,385.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Independent Rural
Health Center/Freestanding Federally Qualified Health Center Cost
Report; Form No.: HCFA-222; Use: The independent rural health clinic/
freestanding federally qualified health center cost report is the cost
report to be used by the mentioned clinics/centers 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: 3,000; Total
Annual Responses: 3,000; Total Annual Hours Requested: 120,000.
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: April 15, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources.
[FR Doc. 96-9768 Filed 4-19-96; 8:45 am]
BILLING CODE 4120-03-P
