[Federal Register Volume 61, Number 162 (Tuesday, August 20, 1996)]
[Notices]
[Page 43062]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-21102]
[[Page 43062]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Health Care Financing Administration, HHS.
In compliance with the Paperwork Reduction Act of 1995 (44 U.S.C.
3501 et seq.), the Health Care Financing Administration (HCFA),
Department of Health and Human Services, has submitted to the Office of
Management and Budget (OMB) the following proposals 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 previously approved collection for which approval has
expired; Title of Information Collection: Withholding Medicare Payments
to Recover Medicaid Overpayments; Form No.: HCFA-R-21; Use: Medicaid
providers who have received overpayments may terminate or substantially
reduce their participation in Medicaid to avoid the State's effort to
recover the amounts due. This provision establishes a mechanism for
State agencies to recoup the overpayments by withholding Medicare
payments to these providers; Frequency: On occasion; Affected Public:
State, local or tribal governments; Number of Respondents: 54; Total
Annual Hours: 81.
2. Type of Information Collection Request: Reinstatement, without
change, of previously approved collection for which approval has
expired; Title of Information Collection: Information Collection
Requirements in HSQ-110, Acquisition, Protection and Disclosure of Peer
Review Organization (PRO) Information-42 CFR Sections 476.104, 476.105,
476.116, and 476.134; Form No.: HCFA-R-70; Use: ``Medicare Disclosure
Information, Regulatory'' The Peer Review Improvement Act of 1982
authorizes PRO's to acquire information necessary to fulfill their
duties and functions and places limits on disclosure of the
information. These requirements are on the PRO to provide notices to
the affected parties when disclosing information about them. These
requirements serve to protect the rights of the affected parties;
Frequency: On occasion; Affected Public: Business or other for profit;
Number of Respondents: 53; Total Annual Hours: 30,577.
3. Type of Information Collection Request: Reinstatement, without
change, of previously approved collection for which approval has
expired; Title of Information Collection: Prepaid Health Plan Cost
Report; Form No.: HCFA-276; Use: These forms are needed to establish
the reasonable cost providing covered services to the enrolled Medicare
population of an HMO in accordance with Section 1876 of the Social
Security Act; Frequency: Quarterly, Annually; Affected Public: Business
or other for profit; Number of Respondents: 82; Total Annual Hours:
9,934.
4. Type of Information Collection Request: Reinstatement, without
change, of previously approved collection for which approval has
expired; Title of Information Collection: Medicare Credit Balance
Reporting Requirements; Form No.: HCFA-838; Use: The collection of
credit balance information is needed to ensure that millions of dollars
in improper program payments are collected. Approximately 37,600 health
care providers will be required to submit a quarterly credit balance
report that indicates the amount of improper payments they received
that are due to Medicare. The intermediaries will monitor the reports
to ensure these funds are collected; Frequency: Quarterly; Affected
Public: Not for profit institutions; Number of Respondents: 37,600;
Total Annual Hours: 902,400.
To obtain copies of 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 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 10235, Washington, DC 20503.
Dated: August 12, 1996.
Edwin J. Glatzel,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-21102 Filed 8-19-96; 8:45 am]
BILLING CODE 4120-03-P
