[Federal Register Volume 61, Number 27 (Thursday, February 8, 1996)]
[Notices]
[Pages 4786-4787]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-2650]



-----------------------------------------------------------------------

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, 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 summaries of proposed collections for public 
comment. Interested persons are invited to send 

[[Page 4787]]
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: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Identification of Extension 
Units of Outpatient Physical Therapy and Outpatient Speech Pathology 
Providers; Form No.: HCFA-381; Use: The Medicare Program requires 
outpatient physical therapy and outpatient speech pathology (OPT/OSP) 
providers to be surveyed to determine compliance with Federal 
requirements. The HCFA-381 is the form used to identify OPT/OSP 
locations; Frequency: Annually; Affected Public: Business or other for 
profit; Number of Respondents: 2,300; Total Annual Hours: 575.
    2. Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Fire Safety Survey Report; 
Form No.: HCFA-2786 A, B, C, D, F, G, H, J, K, L, M, P, Q; Use: These 
forms are used by the State Agency to record data collected in order to 
determine compliance with individual conditions during fire safety 
surveys and report it to the Federal Government; Frequency: Annually; 
Affected Public: State, local or tribal governments; Number of 
Respondents: 53; Total Annual Hours: 20,637.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS 
at http://www.ssa.gov/hcfa/hcfahp2.html , or to obtain the supporting 
statement and any related forms, E-mail your request, including your 
address and phone number, to P[email protected], 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 Financial 
and Human Resources Management Planning and Analysis Staff, Attention: 
John Burke, Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.

    Dated: February 1, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-2650 Filed 2-7-96; 8:45 am]
BILLING CODE 4120-03-P