[Federal Register Volume 62, Number 111 (Tuesday, June 10, 1997)]
[Notices]
[Page 31613]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-15121]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-216 and HCFA-2088]
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 summaries 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: Revision of a currently
approved collection; Title of Information Collection: Organ Procurement
organization/Histocompatibility Laboratory Statement of Reimbursable
Cost; Form No.: HCFA-216; Use: This form is required by statute for
participation in the Medicare program. The information is used to
determine reasonable costs incurred to furnish treatment to end stage
renal disease patients by Organ Procurement Organizations and
Histocompatibility Laboratories. Frequency: Annually; Affected Public:
Business or other for-profit, Not-for-profit institutions, and State,
Local or Tribal Government; Number of Respondents: 100; Total Annual
Hours: 4,500.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Outpatient
Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20
and 413.24; Form No.: HCFA-2088; Use: This form is used by Outpatient
Rehabilitation Facilities to report their health care costs to
determine the amount reimbursable for services furnished 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: 4,298; Total Annual Hours: 429,800.
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: June 3, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources.
[FR Doc. 97-15121 Filed 6-9-97; 8:45 am]
BILLING CODE 4120-03-P
