94-16919. Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) for Clearance
[Federal Register Volume 59, Number 133 (Wednesday, July 13, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-16919]
[[Page Unknown]]
[Federal Register: July 13, 1994]
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HEALTH CARE FINANCING ADMINISTRATION
Public Information Collection Requirements Submitted to the
Office of Management and Budget (OMB) for Clearance
AGENCY: Health Care Financing Administration.
The Health Care Financing Administration (HCFA), Department of
Health and Human Services (HHS), has submitted to OMB the following
proposals for the collection of information in compliance with the
Paperwork Reduction Act (Pub. L. 96-511).
1. Type of Request: Extension; Title of Information Collection:
Current Beneficiary Survey-Rounds 10-18; Form No.: HCFA-P-15; Use:
Rounds 10-18 of the Current Beneficiary Survey will collect cost and
utilization data for community and industrial populations. Information
collection includes: inpatient hospitalization, emergency care,
outpatient clinics, medical equipment cost, and other sources of
payment to be collected; Frequency: Quarterly; Respondents: Businesses,
Nonprofit institutions, Individuals or households; Estimated Number of
Responses: 16,500; Average Hours Per Response: 1 hour; Total Estimated
Burden Hours: 50,738.
2. Type of Request: Revision; Title of Information Collection:
Medicare Independent Renal Dialysis Facility Cost Report; Form No.:
HCFA-265-94; Use: The Medicare Independent Renal Dialysis Facility cost
report provides for determination and allocation of costs to the
components of the facility in order to establish a proper basis for
Medicare payment. This version has been revised to reflect questions in
transplant statistics and home program dialysis; Frequency: Annually;
Respondents: Businesses or other for profit, small businesses or
organizations; Estimated Number of Responses: 380,560; Average Hours
Per Response: 196; Total Estimated Burden Hours: 329,672.
Additional Information or Comments: Call the Reports Clearance
Office on (410) 966-5536 for copies of the clearance request packages.
Written comments and recommendations for the proposed information
collections should be sent within 30 days of this notice directly to
the OMB Desk Officer designated at the following address: OMB Human
Resources and Housing Branch, Attention: Allison Eydt, New Executive
Office Building, Room 3001, Washington, DC 20503.
Dated: July 5, 1994.
Kathleen Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 94-16919 Filed 7-12-94; 8:45 am]
BILLING CODE 4120-03-P
Document Information
- Published:
- 07/13/1994
- Department:
- Health Care Finance Administration
- Entry Type:
- Uncategorized Document
- Document Number:
- 94-16919
- Pages:
- 0-0 (1 pages)
- Docket Numbers:
- Federal Register: July 13, 1994