[Federal Register Volume 61, Number 78 (Monday, April 22, 1996)]
[Notices]
[Pages 17710-17711]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-9768]



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

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-79, HCFA-R-43, HCFA-222]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration.
    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 collection 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.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Payment 
Adjustment for Sole Community Hospitals; Form No.: HCFA-R-79; Use: 
Hospitals designated as ``Sole Community Hospitals'' that experience a 
five percent decrease in discharges in one cost reporting period, as 
compared to the previous period, due to unusual circumstances, beyond 
its control, may request an adjustment to its Medicare payment amount. 
Frequency: On

[[Page 17711]]

occasion; Affected Public: Business or other for-profit, Not-for-profit 
institutions, and State, local or tribal government; Number of 
Respondents: 40; Total Annual Responses: 40; Total Annual Hours 
Requested: 160.
    2. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Conditions of Participation 
for Portable X-ray Suppliers (42 CFR 405 Subpart N); Form No.: HCFA-R-
43; Use: This information is needed to determine if portable X-ray 
suppliers are in compliance with published health and safety 
requirements. Frequency: Annually; Affected Public: Business or other-
for-profit; Number of Respondents: 554; Total Annual Responses: 554; 
Total Annual Hours Requested: 1,385.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Independent Rural 
Health Center/Freestanding Federally Qualified Health Center Cost 
Report; Form No.: HCFA-222; Use: The independent rural health clinic/
freestanding federally qualified health center cost report is the cost 
report to be used by the mentioned clinics/centers to submit annual 
information to achieve a settlement of costs for health care services 
rendered to Medicare beneficiaries. Frequency: Annually; Affected 
Public: Business or other for-profit, Not-for-profit institutions, and 
State, local or tribal government; Number of Respondents: 3,000; Total 
Annual Responses: 3,000; Total Annual Hours Requested: 120,000.
    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: April 15, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources.
[FR Doc. 96-9768 Filed 4-19-96; 8:45 am]
BILLING CODE 4120-03-P