[Federal Register Volume 61, Number 98 (Monday, May 20, 1996)]
[Notices]
[Page 25229]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12527]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
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 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: New Collection; Title of
Information Collection: Evaluation of the Oregon Medicaid Reform
Demonstration: Adult Interview, Child Interview, Pediatric Asthma
Interview, Insulin-Dependent Diabetes Interview, Low Back Pain
Interview, Medical Provider Questionnaire; Form No.: HCFA-R-192; Use:
The survey instruments listed above are for use in the Evaluation of
the Oregon Medicaid Reform Demonstration. The Adult and Child
Interviews are designed to collect information related to health
status, access to care, satisfaction with care and past health
insurance status for adult and child members of the Oregon Health Plan
(OHP). The Pediatric Asthma Interview, Insulin-Dependent Diabetes
Interview and Low Back Pain Interview collect information on quality of
care, utilization of care, satisfaction with care and health status of
OHP members with selected ``tracer conditions.'' The Medical Provider
Questionnaire is designed to collect information on how both
participating and non-participating physicians view OHP; Frequency:
Biennially, Other (one time); Affected Public: Not-for-profit
institutions, individuals and households, business or other for-profit;
Number of Respondents: 22,229; Total Annual Hours: 3,070.
2. Type of Information Collection Request: New Collection; Title of
Information Collection: Evaluation of the Per-Episode Home Health
Prospective Payment Demonstration; Form No.: HCFA-R-195; Use: This
evaluation will collect primary data from samples of patients and from
demonstration agencies to assess impacts of per-episode payment on
access to care, quality of care, and the use of non-Medicare services;
Frequency: Other (one time); Affected Public: Not-for-profit
institutions, individuals and households, business or other for-profit;
Number of Respondents: 19,191; Total Annual Hours: 1,901.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Blood Bank
Inspection Checklist and Report; Form No.: HCFA-282; Use: The blood
bank inspection checklist instrument is used by the State agency to
record data collected as part of the survey and certification process
to determine compliance with the requirement for blood bank services
under Clinical Laboratory Improvement Amendments; Frequency:
Biennially; Affected Public: State, local, and tribal government,
business or other for-profit, not-for-profit institutions, federal
government; Number of Respondents: 2,500; Total Annual Hours: 1,250.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS
at http://www.ssa.gov/hcfa/hcfahp2.html, 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 Planning and Analysis Staff, Attention:
John Burke, Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland
21244-1850.
Dated: May 13, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-12527 Filed 5-17-96; 8:45 am]
BILLING CODE 4120-03-P
