[Federal Register Volume 60, Number 138 (Wednesday, July 19, 1995)]
[Notices]
[Pages 37066-37067]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-17658]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Public Information Collection Requirements Submitted to the
Office of Management and Budget (OMB) for Clearance
AGENCY: Health Care Financing Administration, HHS.
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 (Public Law 96-511).
1. Type of Request: Extension; Title of Information Collection:
Statistical Report on Medical Care: Eligibles, Recipients, Payments &
Services; Form No.: HCFA-2082; Use: The data reported in the HCFA-2082
are the basis of actuarial forecasts for Medicaid services utilization
and cost; of analyses and cost savings estimates required for
legislative initiatives relating to Medicaid and HHS, the press, and
the Congress. Frequency: Quarterly; Respondents: State, local, or
tribal government; Number of Respondents: 54; Total Annual Responses:
21,937.
2. Type of Request: Reinstatement with change; Title of Information
Collection: Internal Revenue Service (IRS)/Social Security
Administration (SSA)/HCFA Data; Form No.: HCFA-R-137; Use: Employers
identified through a match of IRS, SSA, and Medicare records will be
contacted concerning group health plan coverage of identified
individual to ensure compliance with Medicare Secondary Payer
provisions found at 42 USC 1395y(b). Frequency: Annually; Respondents:
Business or other for profit institutions, not-for-profit institutions,
farms, Federal Government, State, local, or tribal government; Number
of Respondents: 581,452; Total Annual Responses: 2,207,801.
3. Type of Request: Reinstatement with change; Title of Information
Collection: Conditions of Coverage for Portable X-Ray Suppliers; 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: Annually; Respondents: Business or
other for profit; Number of Respondents: 550; Total Annual Responses:
1,375.
4. Type of Request: New collection; Title of Collection: Evaluation
of Intermediate Care Facilities for Persons with Mental Retardation;
Form No.: HCFA-R-176; Use: The purpose of the project is to establish a
baseline of current psychoactive drug usage of beneficiaries in
Intermediate Care Facilities for Persons with Mental Retardation (ICFs/
MR). Data will be collected on approximately 2,040 beneficiaries using
the Medical Administration Record. There will be no attempt to evaluate
whether the drug usage is appropriate. Information
[[Page 37067]]
regarding the characteristics of ICRs/MR will be gathered from 480
facilities; Frequency: Annually; Respondents: Individuals and
households, not-for-profit institutions, Federal Government, State,
local, or tribal government; Number of Respondents: 2,520; Total Annual
Responses: 2,520.
Additional Information or Comments: Call the Reports Clearance
Office on (410) 786-1326 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, D.C. 20503
Dated: July 10, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 95-17658 Filed 7-18-95; 8:45 am]
BILLING CODE 4120-03-P
