[Federal Register Volume 60, Number 45 (Wednesday, March 8, 1995)]
[Notices]
[Page 12770]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-5572]



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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 (Public Law 96-511).
    1. Type of Request: Extension; Title of Information Collection: 
Survey Report Form; Form No.: HCFA-1557; Use: This survey form is an 
instrument used by the State agency to record data collected in order 
to determine compliance with the Clinical Laboratory Improvement 
Amendments. This information is needed for laboratory certification and 
recertification; Respondents: Business or other for profit, Federal 
Government, State or local government; Number of Respondents: 30,225; 
Total Annual Responses: 30,225; Total Annual Hours Requested: 16,321.5.
    2. Type of Request: Extension; Title of Information Collection: 
Clinical Laboratory Improvement Amendments Application forms; Form 
Nos.: HCFA-14 and -116; Use: The application must be completed by 
entities performing laboratory testing on human specimens for health 
purposes; Respondents: Business or other for profit, Federal 
Government, State or local government; Number of Respondents: 16,000; 
Total Annual Responses: 16,000; Total Annual Hours Requested: 20,000.
    3. Type of Request: New; Title of Information Collection: Quality 
Assurance for Phase II of the Home Health Agency Prospective Payment 
Demonstration; Form No.: HCFA-R-74; Use: This instrument will be used 
to collect information to implement an outcome-based quality assurance 
program to monitor the quality of care provided by agencies 
participating in Phase II of the Home Health Agency Prospective Payment 
Demonstration; Respondents: Business or other for profit, nonprofit 
institutions; Number of Respondents: 29,427 (episodes); Total Annual 
Responses: 58,854; Total Annual Hours Requested: 10,152.
    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 10235, Washington, D.C. 20503.

    Dated: February 27, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 95-5572 Filed 3-7-95; 8:45 am]
BILLING CODE 4120-03-P