[Federal Register Volume 64, Number 155 (Thursday, August 12, 1999)]
[Notices]
[Pages 44031-44032]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-20811]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-0029/0030 and HCFA-R-0107]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Health Care Financing Administration, HSS.
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 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: Request for
Certification as Rural Health Clinic and Rural Health Clinic Survey
Repot From and Supporting Regulations in 42 CFR 491.1-491.11; Form No.:
HCFA-0029/0030 (OMB# 0938-0074); Use: The Form HCFA-0029 is utilized as
an application to be completed by suppliers of RHC services requesting
participation in the Medicare/Medicaid programs. This form initiates
the process of obtaining a decision as to whether the conditions for
certification are met as a supplier of RHC services. It also promotes
data reduction or introduction to and retrieval from the Online Survey
and Certification and Reporting System (OSCAR) by the HCFA Regional
Offices (RO). The Form HCFA-0030 is an
[[Page 44032]]
instrument used by the State survey agency to record data collected in
order to determine RHC compliance with individual conditions of
participation and to report it to the Federal government. The form is
primarily a coding worksheet designed to facilitate data reduction
(keypunching) and retrieval into OSCAR at the HCFA ROs. The form
includes basic information on compliance (i.e., met, not met and
explanatory statements) and does not require any descriptive
information regarding the survey activity itself.; Frequency: Annually;
Affected Public: State, Local, or Tribal Government; Number of
Respondents: 470; Total Annual Responses: 470; Total Annual Hours: 822.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Determining Third
Party Liability (TPL) State Plan Preprint and Supporting Regulations in
42 CFR 433.138; Form No.: HCFA-R-0107 (OMB# 0938-0502); Use: In the
past, many third party resources were not diligently pursued by State
governments. In an effort to improve program efficiencies and reduce
Medicaid expenditures HCFA implemented TPL procedures. The collection
of TPL information results in significant program savings to the extent
that liable third parties can be identified and payments can be made
for services that would otherwise be paid for by the Medicaid program.;
Frequency: On occasion; Affected Public: Individuals or Households,
Federal Government, and State, Local, or Tribal Government; Number of
Respondents: 1,900,000; Total Annual Responses: 1,900,000; Total Annual
Hours: 329,965.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access HCFA's
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail
your request, including your address, phone number, OMB number, and
HCFA document identifier, 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 OMB desk officer: OMB
Human Resources and Housing Branch, Attention: Allison Eydt, New
Executive Office Building, Room 10235, Washington, D.C. 20503.
Dated: July 29, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-20811 Filed 8-11-99; 8:45 am]
BILLING CODE 4120-03-P
