[Federal Register Volume 62, Number 122 (Wednesday, June 25, 1997)]
[Notices]
[Page 34300]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-16602]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-54 and HCFA-250]
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: Ambulatory
Surgical Center Conditions of Coverage and Supporting Regulations in 42
CFR 416.43 and 416.47; Document No.: HCFA-R-54; Use: Regulation
standards are designed to ensure that each Ambulatory Surgical Center
has a properly trained staff and adequate physical environment to
provide an appropriate type and level of care. Frequency: Annually;
Affected Public: Business or other for-profit; Number of Respondents:
2,341; Total Annual Hours: 23,410.
2. Type of Information Collection Request: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Medicare Secondary Payer
Initial Enrollment Questionnaire; Form No.: HCFA 250; Use: This request
will be mailed to all newly enrolled Medicare Beneficiaries
approximately 1 to 3 months prior to his/her entitlement date. The
information requested will determine if Medicare is the proper primary
payer, or if the beneficiary is covered under an employer group health
plan through continuation of employment after age 65, or through
coverage of a currently employed spouse. This centralizes and
standardizes the collection of information under one contract.
Frequency: Other--Monthly for New Beneficiaries Only; Affected Public:
Individual or Households; Number of Respondents: 2,600,000; Total
Annual Hours: 650,000.
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 16, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources.
[FR Doc. 97-16602 Filed 6-24-97; 8:45 am]
BILLING CODE 4120-03-P
