[Federal Register Volume 62, Number 128 (Thursday, July 3, 1997)]
[Notices]
[Page 36068]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-17434]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-685, and HCFA-684 A-J]
Agency Information Collection Activities: Proposed Collection;
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, is
publishing the following summary of proposed collections for public
comment. 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: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting
Regulations 42 CFR 405.2110 and 405.2112; Form No.: HCFA-685; Use: The
Semi-annual cost report enables HCFA to review specific Network costs,
compare costs between Networks, and project future Network costs. The
reports are also used as an early warning system to determine if a
Network is in danger of exceeding the total cost of its contract.
Frequency: Semi-annually; Affected Public: Not-for-profit institutions;
Number of Respondents: 18; Total Annual Responses: 36; Total Annual
Hours: 108.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease Network (ESRD) Business Proposal Forms; Form No.: HCFA-684
through 684 A-J; Use: Current End Stage Renal Disease (ESRD) Networks
and other bidders are required to submit contract proposals to
participate as a HCFA sanctioned ESRD Network. The business proposal
forms are used to satisfy HCFA's need for consistent, meaningful, and
verifiable data to evaluate contract proposals. Frequency: Every three
years; Affected Public: Not-for-profit institutions; Number of
Respondents: 18; Total Annual Responses: 36; Total Annual Hours: 1,080.
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 60 days of this notice directly to the HCFA Paperwork Clearance
Officer designated at the following address: HCFA, Office of Financial
and Human Resources, Management Analysis and Planning Staff, Attention:
John Rudolph, Room C2-26-17, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: June 26, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources.
[FR Doc. 97-17434 Filed 7-2-97; 8:45 am]
BILLING CODE 4120-03-P
