[Federal Register Volume 64, Number 92 (Thursday, May 13, 1999)]
[Notices]
[Page 25893]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-12124]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-0381]
Agency Information Collection Activities: Submission for OMB
Review; 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.
Type of Information Collection Request: Extension of a currently
approved collection.
Title of Information Collection: Identification of Extension Units
of Outpatient Physical Therapy (OPT) and Outpatient Speech Pathology
(OSP) Providers and Supporting Regulations in 42 CFR 485.701-785.729.
Form No.: HCFA-381 (OMB# 0938-0273).
Use: Medicare requires OPT/OSP providers to be surveyed to
determine compliance with Federal requirements. When an OPT/OSP
provider furnishes services to locations other than their already
certified premises (extension locations), those premises are considered
to be part of the OPT/OSP provider and are subject to the same Medicare
regulations as the primary location. This form is used by the State
survey agencies and by the HCFA regional offices to identify and
monitor extension locations to ensure their compliance with Federal
requirements. The HCFA-381 form requests information such as: facility
name, provider number, where services are rendered, and the number of
OPT/OSP services rendered.
Frequency: Annually.
Affected Public: Business or other for-profit
Number of Respondents: 2,300.
Total Annual Responses: 2,300.
Total Annual Hours: 575.
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 30 days of this notice directly to the OMB desk officer: OMB
Human Resources and Housing Branch, Attention: Allison Eydt, New
Executive Office Building, Room 10235, Washington, D.C. 20503.
Dated: May 6, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-12124 Filed 5-12-99; 8:45 am]
BILLING CODE 4120-03-P
