[Federal Register Volume 61, Number 152 (Tuesday, August 6, 1996)]
[Notices]
[Page 40847]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-19992]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
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: Comprehensive
Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms
and Information Collection Requirements in 42 CFR 485.56, 485.58,
485.60; Form No.: HCFA-359, HCFA-360, HCFA-R-55; Use: In order to
participate in the Medicare program as a CORF, providers must meet
Federal conditions of participation. The certification form is needed
to determine if providers meet at least preliminary requirements. The
survey form is used to record provider compliance with the individual
conditions and report findings to HCFA; Frequency: Annually; Affected
Public: Business or other for profit, not for profit institutions,
State, local, or tribal governments; Number of Respondents: 162; Total
Annual Responses: 324; Total Annual Hours: 526 (reporting), 77,014
(record keeping).
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: July 30, 1996.
Edwin J. Glatzel,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-19992 Filed 8-5-96; 8:45 am]
BILLING CODE 4120-03-P
