[Federal Register Volume 63, Number 64 (Friday, April 3, 1998)]
[Notices]
[Page 16563]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-8695]
[[Page 16563]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-2728]
Agency Information Collection Activities: Submission for OMB
Review; 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, 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.
Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease Medical Evidence Report Medicare Entitlement and/or Patient
Registration and Supporting Regulations 42 CFR 405.2133; Form No.:
HCFA-2728; Use: This form captures the necessary medical information
required to determine Medicare eligibility of an end stage renal
disease claimant. It also captures the specific medical data required
for research and policy decisions on this population as required by
law. Frequency: Quarterly, weekly, semi-annually, monthly, and
annually; Affected Public: Individuals or Households; Number of
Respondents: 60,000; Total Annual Responses: 60,000; Total Annual
Hours: 25,000.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, or 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 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 23, 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. 98-8695 Filed 4-2-98; 8:45 am]
BILLING CODE 4120-03-P
