[Federal Register Volume 64, Number 123 (Monday, June 28, 1999)]
[Notices]
[Page 34661]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-16395]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-222]
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 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: Independent Rural Health Center/
Freestanding Federally Qualified Health Center Cost Report and
Supporting Regulations in 42 CFR, Section 413.20 and 413.24;
Form No.: HCFA-222;
Use: The independent rural health clinic/freestanding federally
qualified health center (RHC/FQHC) cost report is the cost report to be
used by the mentioned clinics/centers to submit annual information to
achieve a settlement of costs for health care services rendered to
Medicare beneficiaries. This form is used to collect the pertinent
information from the RHC's and FQHC's in order to determine their
Medicare cost reimbursement;
Frequency: Annually;
Affected Public: Not-for-profit institutions, State, local or
tribal government, and business or other for-profit;
Number of Respondents: 3,000;
Total Annual Responses: 3,000;
Total Annual Hours Requested: 150,000.
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 60 days of this notice directly to the HCFA Paperwork Clearance
Officer designated at the following address: HCFA, Office of
Information Services, Security and Standards Group, Division of HCFA
Enterprise Standards, Attention: Dawn Willinghan, Room N2-14-26, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: June 21, 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. 99-16395 Filed 6-25-99; 8:45 am]
BILLING CODE 4120-03-P
