[Federal Register Volume 64, Number 187 (Tuesday, September 28, 1999)]
[Notices]
[Page 52332]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-25098]
[[Page 52332]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-222]
Agency Information Collection Activities: Submission for OMB
Review; 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, has
submitted to the Office of Management and Budget (OMB) the following
proposal 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.
Type of Information Collection Request: Extension of a currently
approved collection;
Title of Information Collection: Independent Rural Health Center/
Freestanding Federally Qualified Health Center Cost Report and
Supporting Regulations in 42 CFR, Section 413.20 and 413.24;
Form No.: HCFA-222;
Use: The independent rural health clinic/freestanding federally
qualified health center (RHC/FQHC) cost report is the cost report to be
used by the mentioned clinics/centers to submit annual information to
achieve a settlement of costs for health care services rendered to
Medicare beneficiaries. This form is used to collect the pertinent
information from the RHC's and FQHC's in order to determine their
Medicare cost reimbursement.;
Frequency: Annually;
Affected Public: Not-for-profit institutions, State, local or
tribal government, and Business or other for-profit;
Number of Respondents: 3,000;
Total Annual Responses: 3,000;
Total Annual Hours Requested: 150,000.
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 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 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: September 1, 1999.
John Parmigiani,
Manager, HCFA, Office of Information Services, Security and Standards
Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-25098 Filed 9-27-99; 8:45 am]
BILLING CODE 4120-03-P
