[Federal Register Volume 62, Number 142 (Thursday, July 24, 1997)]
[Notices]
[Pages 39848-39849]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-19516]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-485 and HCFA-1513]
Agency Information Collection Activities: Proposed Collection;
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 summaries 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: Extension of a currently
approved collection; Title of Information Collection: Home Health
Services Under Hospital Insurance and Supporting Regulations in 42 CFR
409.40-.50, 410.36, 410.170, 411.4-.15, 421.100, 424.22, 484.18 and
489.21; Form No.: HCFA-485 (OMB# 0938-0357); Use: The ``Home Health
Services Under Hospital Insurance'' is a certification and plan of care
used by the Regional Home Health Intermediaries (RHHIs) to ensure
reimbursement is made to Home Health agencies only for services that
are covered and medically necessary under Part A and Part B. The
attending physician must sign the HCFA-485 (OMB 0938-0357) authorizing
the home services for a period not to exceed 62 days; Frequency: Other
(initial claim and every second claim thereafter); Affected Public:
Business or other for-profit; Number of Respondents: 9,044; Total
Annual Responses: 10,080,000; Total Annual Hours: 2,520,000.
2. Type of Information Collection Request: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Medicare/Medicaid Disclosure
of Ownership and Control Interest Statement and Supporting Regulations
in 42 CFR 420.200-.206, 455.100-.106 and 45 CFR 228.72-.73; Form No.:
HCFA-1513 (OMB# 0938-0086); Use: The Medicare/Medicaid Disclosure of
Ownership and Control Interest Statement must be used by State agencies
and HCFA regional offices to determine whether providers meet the
eligibility requirements for Titles 18 and 19 (Medicare and Medicaid)
and for grants under Titles V and XX. Review of ownership and control
is particularly necessary to prohibit ownership and control for
individuals excluded under Federal fraud statutes; Frequency: Other
(every 1 to 3 years); Affected Public: Business or other for-profit,
and Not-for-profit institutions; Number of Respondents: 92,000; Total
Annual Responses: 92,000; Total Annual Hours: 46,000.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, 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 60 days of this notice directly to
the HCFA Paperwork Clearance Officer designated at the following
address: HCFA, Office of Information Services, Information Technology
Investment Management Group, Division of HCFA Enterprise Standards,
Attention: Louis Blank, Room C2-26-17, 7500 Security
[[Page 39849]]
Boulevard, Baltimore, Maryland 21244-1850.
Dated: July 18, 1997.
John P. Burke III,
HCFA Reports Clearance Officer
Division of HCFA Enterprise Standards, Health Care Financing
Administration.
[FR Doc. 97-19516 Filed 7-23-97; 8:45 am]
BILLING CODE 4120-03-P
