Agency information collection activities: Proposed collection; comment request,

[Federal Register: May 28, 1999 (Volume 64, Number 103)]

[Notices]

[Page 29048-29049]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr28my99-95]

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-0029/0030, R-0106, and R-0284]

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 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.

[[Page 29049]]

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 Report Form and Supporting Regulations in 42 CFR 491.1-491.11; Form No.: HCFA-0029/0030 (OMB# 0938-0074); Use: The Form HCFA-29 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-30 is an 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: 390; Total Annual Responses: 390; Total Annual Hours: 822.

Type of Information Collection Request: Reinstatement, without change, of a previously approved collection for which approval has expired; Title of Information Collection: Criteria for Medicare Coverage of Heart Transplants; Form No.: HCFA-R-0106 (OMB# 0938-0490); Use: Medicare participating hospitals must file an application to be approved for coverage and payment of heart transplants performed on Medicare beneficiaries. Heart transplants performed in facilities that have not been approved will not be covered by Medicare; Frequency: Annually; Affected Public: Business or other for-profit; Number of Respondents: 5; Total Annual Responses: 5; Total Annual Hours: 500.

Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medicaid Statistical Information System (MSIS); Form No.: HCFA-R-0284 (OMB# 0938-0345); Use: State data are reported by a Federally mandated process known as MSIS. These data are the basis for: Medicaid actuarial forecasts for service utilization and costs; Medicaid legislative analysis and cost savings estimates; and responding to requests for information from HCFA components, the Department, Congress, and other customers. The national MSIS database will contain details that will allow constructive or predictive analysis of today's Medicaid issues (e.g., pregnant women, and infants); Frequency: Quarterly and Annually; Affected Public: State, Local, or Tribal Government; Number of Respondents: 53; Total Annual Responses: 212; Total Annual Hours: 2,210.

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 60 days of this notice directly to the HCFA Paperwork Clearance Officer designated at the following address: HCFA, Office of Information Services, Security and Standards Group, Division of HCFA Enterprise Standards, Attention: Louis Blank, Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

Dated: May 20, 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. 99-13649Filed5-27-99; 8:45 am]

BILLING CODE 4120-03-P