[Federal Register Volume 61, Number 139 (Thursday, July 18, 1996)]
[Notices]
[Page 37487]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-18242]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-222, R-43]
Agency Information Collection Activities: Submission for OMB
Review; 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, has
submitted to the Office of Management and Budget (OMB) the following
proposal for the collection of information. 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: Independent Rural
Health Center/Freestanding Federally Qualified Health Center Cost
Report; Form No.: HCFA-222; Use: The independent rural health clinic/
freestanding federally qualified health center 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. Frequency: Annually; Affected
Public: Business or other for-profit, Not-for-profit institutions, and
State, local or tribal government; Number of Respondents: 3,000; Total
Annual Responses: 3,000; Total Annual Hours Requested: 150,000.
2. Type of Information Collection Request: Reinstatement, with
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Conditions of Participation
for Portable X-ray Suppliers (42 CFR 405 Subpart N); Form No.: HCFA-R-
43; Use: This information is needed to determine if portable X-ray
suppliers are in compliance with published health and safety
requirements. Frequency of Record keeping: Retain records for two
years; Affected Public: Business or other-for-profit; Number of
Respondents: 554; Total Annual Responses: 554; Total Annual Hours
Requested: 1,385.
To request copies of the proposed paperwork collections referenced
above, E-mail your request, including your address, to
Paperwork@hcfa.gov, or call the Reports Clearance Office on (410) 786-
1326. 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 10235, Washington, D.C. 20503.
Dated: July 11, 1996
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-18242 Filed 7-17-96; 8:45 am]
BILLING CODE 4120-03-P
