[Federal Register Volume 62, Number 127 (Wednesday, July 2, 1997)]
[Notices]
[Pages 35823-35824]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-17243]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-88 and HCFA-2552]
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: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Information Collection
Requirements in HCFA Pub 14-3 Section 2120.1-2125 and Section 4115 of
the Carriers Manual (HCFA-R-88); Use: Verification of ambulance
compliance with State and Local
[[Page 35824]]
requirements is necessary to determine whether the ambulance qualifies
for reimbursement under Medicare. Carriers require ambulances providing
service to Medicare beneficiaries to submit documentation showing that
they have the required equipment. Frequency: On occasion; Affected
Public: Business or other for-profit; Number of Respondents: 100; Total
Annual Hours: 25.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Cost Report for
Electronic Filing for Hospital and Hospital Health Care Complex Cost
Report and Supporting Regulations in 42 CFR 413.20 and 413.24; Form
No.: HCFA-2552-96; Use: This form is required by statute and regulation
for participation in the Medicare program. The information is used to
determine final payment for Medicare. Hospitals and related complexes
are the main users. Frequency: Annually; Affected Public: Business or
other for-profit, Not-for profit institutions, and State, Local or
Tribal Government; Number of Respondents: 7,000; Total Annual
Responses: 7,000; Total Annual Hours Requested: 4,599,000.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's Web Site Address
at http://www.hcfa.gov/regs/prdact95.htm, or to obtain the supporting
statement and any related forms, E-mail your request, including your
address and phone number, 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 HCFA Paperwork Clearance
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: June 24, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-17243 Filed 7-1-97; 8:45 am]
BILLING CODE 4120-03-P
