[Federal Register Volume 61, Number 164 (Thursday, August 22, 1996)]
[Notices]
[Page 43373]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-21425]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-9026]
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. HCFA-9026 Type of Information Collection Request: Reinstatement,
without change, of previously approved collection for which approval
has expired; Title of Information Collection: Intermediary Request to
Hospitals for Medical Information on Inpatient Claims for Statutorily
Excluded Services/SSA 1862; 42 CFR 411.15; FR Vol. 60 No. 181; Form
No.: HCFA-9026; Use: This information request is to enable
intermediaries to obtain hospital medical records for inpatient claims
involving statutorily excluded services and other non-covered services
and devices. 42 CFR 411.15 is the regulation supporting this collection
of information; Frequency: On occasion; Affected Public: Business or
other for profit, not for profit institutions, State, local, or tribal
governments, Federal government; Number of Respondents: 5,258; Total
Annual Responses: 20,355; Total Annual Hours: 5,088.
2. HCFA-R-30 Type of Information Collection Request: Reinstatement,
with change, of a previously approved collection for which approval has
expired; Title of Information Collection: ICR in the Hospice Care
Regulation for 42 [email protected], 418.24, 418.28, 418.56(b), 418.56(e)(1),
418.56(e)(3), 418.58, 418.70(d), 418.70(e), 418.74, 418.83, 418.96(b)
and 418.100(b); Form No.: HCFA-R-30; Use: The HCFA-R-30 establishes
standards for hospices who wish to participate in the Medicare program.
The regulations establish standards for eligibility, reimbursement
standards and procedures, and delineate conditions that hospices must
meet to be approved for participation in Medicare. Frequency: On
occasion; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 1,927; Total Annual
Responses: 1,927; Total Annual Hours Requested: 3,977,762. As a note,
this collection was inadvertently announced in the Federal Register, on
8/8/96, as a 30 day comment request.
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, 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 Planning and Analysis Staff, Attention: John Burke, Room C2-
26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: August 14, 1996.
Edwin J. Glatzel,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-21425 Filed 8-21-96; 8:45 am]
BILLING CODE 4120-03-P
