[Federal Register Volume 60, Number 212 (Thursday, November 2, 1995)]
[Notices]
[Pages 55719-55720]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-27222]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

Public Information Collection Requirements Submitted for Public 
Comment and Recommendations

AGENCY: Health Care Financing Administration, DHHS.
    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 
proposals for the collection of information. 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: New collection; Title of 
Information Collection: Evaluation of the Oregon Medicaid Reform 
Demonstration, Baseline Survey; Form No.: HCFA-R-179; Use: The baseline 
survey is one component in the evaluation of the Oregon Medicaid Reform 
Demonstration (OMRD), a demonstration authorized under section 115 of 
the Social Security Act. The purpose of the survey is to gather 
information on the health status, past utilization, and level of 
satisfaction of a sample of newly enrolled OMRD recipients, in a way 
that allows followup contact and maximizes the likelihood of 
preenrollment recall. Frequency: Annually; Affected Public: Individuals 
or households; Number of Respondents: 2,667; Total Annual Hours: 500.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Field Testing of the Uniform Needs Assessment 
Instrument; Form No.: HCFA-R-180; Use: The validity, reliability, and 
administrative feasibility of the Uniform Needs Assessment instrument 
will be tested in a small-scale trial. Also, a high risk screener will 
be developed to identify hospital patients in need of extensive 
discharge planning. Testing will be done in two phases approximately 1 
year apart. Each phase will involve 12 provider sites, 420 patients, 
and 840 total assessments. Frequency: Annually; Affected Public: 
Individuals or households, business or other for profit and not-for-
profit institutions; Number of Respondents: 420; Total Annual Hours: 
1,050.
    3. Type of Information Collection Request: New collection; Title of 


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Information Collection: Data Collection and Analysis for Generating 
Procedure Specific Cost Estimates; Form No.: HCFA-R-181; Use: The 
Survey of Practice Costs is a survey of provider practices whose 
services are covered by the Medicare Fee Schedule (MFS). The data 
collected from this survey will enable HCFA to meet its congressional 
mandate to develop resource-based practice expense relative value unit 
estimates for the MFS by 1998; Frequency: Annually; Affected Public: 
Individuals or households, business or other for profit; Number of 
Respondents: 3,500; Total Annual Hours: 10,500.
    4. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Evaluation of the 
Medicare Cataract Surgery Alternate Payment Demonstration; Form No.: 
HCFA-R-154; Use: This survey will be implemented in an effort to 
estimate the effects of a bundled payment for cataract surgery on 
Medicare beneficiaries. Effects of the packaged payment on the nature 
of services, quality, and satisfaction will be measured. Frequency: 
Annually; Affected Public: Individuals or households, business or other 
for profit, not for profit; Number of Respondents: 1,686; Total Annual 
Hours: 506.
    5. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Alternative Quality 
Assessment Survey; Form No.: HCFA-667; Use: This survey is used in lieu 
of an onsite survey for those Clinical Laboratory Improvement 
Amendments of 1988 (CLIA) laboratories with good performance determined 
by their last onsite survey, and is designed to screen laboratories and 
alert HCFA to where an onsite inspection is vital. The survey has been 
revised to reflect CLIA's streamlined inspection process, to reduce 
burden, and to improve the CLIA system by rewarding good performance. 
Frequency: Annually; Affected Public: Business or other for profit, not 
for profit, Federal Government, State, local, or tribal government; 
Number of Respondents: 4,000; Total Annual Hours: 6,000.
    To request copies of the proposed paperwork collections referenced 
above, E-mail your request, including your address, to 
P[email protected], or call the Reports Clearance Office on (410) 786-
1326. 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: October 25, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 95-27222 Filed 11-1-95; 8:45 am]
BILLING CODE 4120-03-P