[Federal Register Volume 59, Number 61 (Wednesday, March 30, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-7413]


[[Page Unknown]]

[Federal Register: March 30, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration

 

Public Information Collection Requirements Submitted to the 
Office of Management and Budget (OMB) for Clearance

AGENCY: Health Care Financing Administration, HHS.
    The Health Care Financing Administration (HCFA), Department of 
Health and Human Services, has submitted to OMB the following proposals 
for the collection of information in compliance with the Paperwork 
Reduction Act (Pub. L. 96-511).
    1. Type of Request: Reinstatement; Title of Information Collection: 
Home Health Agency (HHA) Medicare and Medicaid Survey Report forms for 
Home Health Agency Conditions of Participation; Form Nos.: HCFA-1515, 
HCFA-1572; Use: In order to participate in the Medicare program as an 
HHA provider, the HHA must meet Federal standards. These forms are used 
to record information about patients' health and provider compliance 
with requirement and report information to the Federal Government; 
Frequency: Annually; Respondents: State or local governments, Federal 
agencies or employees; Estimated Number of Responses: 103,500; Average 
Hours Per Response: 1.0; Total Estimated Burden Hours: 103,500.
    2. Type of Request: Revision; Title of Information Collection: 
Conditions of Participation for Rural Health Clinics; Form No.: HCFA-R-
38; Use: This collection of information is needed to determine the 
rural health clinic's compliance with health and safety provisions. The 
respondents are rural health clinics; Frequency: Annually; Respondents: 
Businesses or other for profit and nonprofit institutions; Estimated 
Number of Responses: 1,201 (existing facilities), 310 (new facilities); 
Average Hours Per Response: 2 hours (existing facilities), 10 hours 
(new facilities); Total Estimated Burden Hours: 5,602.
    3. Type of Request: Reinstatement; Title of Information Collection: 
Reevaluation of Assets; Form No.: HCFA-R-130; Use: The Social Security 
Act requires State Medicaid agencies to provide satisfactory assurances 
that the methods and standards used for determining payment rates for 
hospitals and long-term care facilities will not result in payment 
rates being increased solely as a result of a change in ownership by 
more than the statutory limit. The State Medicaid agency is required to 
provide this assurance whenever it submits a State plan amendment 
revising its methods and standards for setting payment rates; 
Frequency: Quarterly; Respondents: State or local governments; 
Estimated Number of Responses: 204; Average Hours Per Response: .25; 
Total Estimated Burden Hours: 51.
    4. Type of Request: Reinstatement; Title of Information Collection: 
Statistical Report on Medical Care: Eligibles, Recipients, Payments, 
and Services; Form No.: HCFA-2082; Use: The data reported on the HCFA-
2082 are the basis of actuarial forecasts for Medicaid services 
utilization and costs; of analyses and cost savings estimates required 
for legislative initiatives relating to Medicaid and for responding to 
requests for information from HCFA components, the Department, the 
press, and the Congress; Frequency: Quarterly; Respondents: State or 
local governments; Estimated Number of Responses: 216; Average Hours 
Per Response: 101.41; Total Estimated Burden Hours: 21,905.
    Additional Information or Comments: Call the Reports Clearance 
Office on (410) 966-5536 for copies of the clearance request packages. 
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 3001, Washington, DC 20503.

    Dated: March 22, 1994.
John A. Streb,
Director, Management Planning and Analysis Staff, Office of Budget and 
Administration, Health Care Financing Administration.
[FR Doc. 94-7413 Filed 3-29-94; 8:45 am]
BILLING CODE 4120-03-P