[Federal Register Volume 63, Number 136 (Thursday, July 16, 1998)]
[Notices]
[Pages 38413-38414]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-19003]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-116, HCFA-416, HCFA-R-148, and HCFA-R-231]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Health Care Financing Administration, HHS.
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.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Clinical
Laboratory Improvement Amendments (CLIA) Application Form and
Supporting Regulations in 42 CFR 493.1--.2001; Form No.: HCFA-116 (OMB#
0938-0581); Use: These certification requirements have been established
for any entity that performs testing on human beings for diagnostic or
treatment purposes. If a laboratory conducts relatively simple tests
that are categorized as waived or provider performed microscopy test
procedures (PPMP), it must obtain a certificate of waiver or
certificate of PPMP. If the laboratory conducts any tests outside of
these two categories, it must apply for a certificate of compliance or
certificate of accreditation and initially obtain a registration
certificate. These certificates ensure that laboratories are in
compliance with CLIA.; Frequency: Biennially; Affected Public: Business
or other for profit, Not for profit institutions, Federal Government,
and State, local or tribal government; Number of Respondents: 16,000;
Total Annual Responses: 16,000; Total Annual Hours: 20,000.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Annual Early and
Periodic Screening, Diagnostic, and Treatment Services (EPSDT)
Participation Report and Supporting Regulations in 42 CFR 441.60; Form
No.: HCFA-416 (OMB# 0938-0354); Use: States are required to submit an
annual report on the provision of EPSDT services to HCFA pursuant to
section 1902(a)(43) of the Social Security Act. These reports provide
HCFA with data necessary to assess the effectiveness of State EPSDT
programs. It is also helpful in developing trend patterns, national
projections, responding to inquiries, and determining a State's results
in achieving its participation goal.; Frequency: Annually; Affected
Public: State, Local or Tribal Government; Number of Respondents: 56;
Total Annual Responses: 56; Total Annual Hours: 1,568.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Limitation on
Provider-Related Donations and Health Care-Related Taxes; Limitations
on Payments to Disproportionate Share Hospitals; Medicaid and
Supporting Regulations in 42 CFR 433.68, 433.74, 447.74 and 447.272;
Form No.: HCFA-R-148 (OMB# 0938-0618); Use: These information
collection requirements specify limitations on the amount of Federal
financial participation available for medical assistance expenditures
in a fiscal year. States receive donated funds from providers and
revenues are generated by health care related taxes. These donations
and revenues are used to fund medical assistance programs.; Frequency:
Quarterly; Affected Public: State, Local, or Tribal Government; Number
of Respondents: 51; Total Annual Responses: 51; Total Annual Hours:
#3,892.
4. Type of Information Request: Revision of a currently approved
collection; Title of Information
[[Page 38414]]
Collection: Medicare+Choice (M+C) Providers Sponsored Organization
(PSO) Waiver Request Form and Supporting Regulations in 42 CFR 422.370-
422.378; Form Number: HCFA-R-231; Use: The PSO waiver request form is
for use by PSO's that do not have a State risk-bearing entity licence
and that wish to enter into a M+C contract with HCFA to provide prepaid
health care services to eligible Medicare beneficiaries. HCFA will use
the information requested on this form to determine whether the
applicant is eligible for a waiver of the state licensure requirement
for M+C organizations as allowed under section 1855(a)(2) of the Social
Security Act.; Frequency: One-time.; Affected Public: Business or other
for-profit, Not-for-profit institutions, and Federal Government.;
Annual Number of Respondents: 30.; Total Annual Responses: 30.; Total
Annual Hours Requested: 300.
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 30 days of this notice directly to the OMB desk officer: OMB
Human Resources and Housing Branch, Attention: Allison Eydt, New
Executive Office Building, Room 10235, Washington, D.C. 20503.
Dated: July 9, 1998.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 98-19003 Filed 7-15-98; 8:45 am]
BILLING CODE 4120-03-P
