[Federal Register Volume 61, Number 66 (Thursday, April 4, 1996)]
[Notices]
[Page 15074]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-8260]



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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 Paperwork Reduction Act (44 U.S.C. 3501 et 
seq.) this notice is publishing the following summaries of proposed 
collections for public comment. The title, description, and respondent 
description of the information collection are shown below with an 
estimate of the annual reporting and recordkeeping burden. Included in 
the estimate is the time for reviewing instructions, searching existing 
data sources, gathering and maintaining the data needed, and completing 
and reviewing 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: Revision of a Currently 
Approved Collection; Title of Information Collection: End Stage Renal 
Disease (ESRD) Medical Information System Survey; Form No.: HCFA-2744; 
Use: This form is completed annually by Medicare approved providers of 
dialysis and transport services. The HCFA-2744 is designed to collect 
information concerning treatment trends, utilization of services and 
patterns of practice in treating ESRD patients; Frequency: Annually; 
Affected Public: Business or other for profit, Not for profit 
institutions; Number of Respondents: 3,200; Total Annual Responses: 
3,200; Total Annual Hours Requested 25,600.
    2. Type of Information Collection Request: Extension of a Currently 
Approved Collection; Title of Information Collection: End Stage Renal 
Disease (ESRD) Death Notification; Form No.: HCFA-2746; Use: This form 
is completed by all Medicare approved ESRD facilities upon the death of 
an ESRD patient. It's primary purpose is to collect fact and cause of 
death; Frequency: On Occasion; Affected Public: Business or other for 
profit, Not for profit institutions; Number of Respondents: 2,900; 
Total Annual Responses: 40,600; Total Annual Hours Requested 6,902.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Hospital 
Conditions of Participation--42 CFR Part 482; Form No.: HCFA-R-48; Use: 
Hospitals seeking to participate in the Medicare and Medicaid programs 
must meet the Conditions of Participation. These information collection 
requirements in this package are needed to implement the Medicare and 
Medicaid conditions of participation for hospitals. Frequency: 
Annually; Affected Public: Business or other for-profit, Not-for-profit 
institutions, Federal Government, and State, Local or Tribal 
Government; Number of Respondents: 6,700; Total Annual Responses: 
6,700; Total Annual Hours Requested: 53,515.
    To request copies of the proposed paperwork collection 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: Zaneta Davis, 7500 Security Boulevard, Room 
C2-26-17, Baltimore, Maryland 21244-1850.

    Dated: March 29, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources.
[FR Doc. 96-8260 Filed 4-3-96; 8:45 am]
BILLING CODE 4120-03-P