[Federal Register Volume 61, Number 56 (Thursday, March 21, 1996)]
[Notices]
[Pages 11646-11647]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-6751]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration


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

[[Page 11647]]
collections for public comment. Interested persons are invited to send 
comments regarding the 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.
    Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Information 
Collection Requirements contained in BPD-718: Advance Directives 
(Medicare and Medicaid); Form No.: HCFA-R-10; Use: Certain Medicare and 
Medicaid organizations are responsible for collecting and documenting, 
in medical records, whether or not an individual has executed an 
advance directive, this document indicates the individuals preference 
if he/she is incapacitated. Frequency: On occasion; Affected Public: 
Business or other for-profit, Not-for-profit institutions, Federal 
government, and State, local or tribal government; Number of 
Respondents: 38,927; Total Annual Responses: 38,927; Total Annual Hours 
Requested: 908,250.
    To request copies of the proposed paperwork collections referenced 
above, call the Reports Clearance Office on (410) 786-1326. Written 
comments and recommendations for the proposed information collections 
should be sent 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: Louis Blank, Room C2-26-17, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850

    Dated: March 13, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources.
[FR Doc. 96-6751 Filed 3-20-96; 8:45 am]
BILLING CODE 4120-03-P