[Federal Register Volume 61, Number 96 (Thursday, May 16, 1996)]
[Notices]
[Page 24804]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12318]



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

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-287]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    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 
proposal for the collection of information. 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: Home Office Cost 
Statement; Form No.: HCFA 287; Use: Medicare law permits components of 
chain organizations to be reimbursed for certain costs incurred by the 
chain home offices. The Home Office Cost Statement is required by the 
fiscal intermediary to verify Home Office Costs claimed by the 
components. Frequency: Annually; Affected Public: Business or other 
for-profit, and Not-for-profit institutions; Number of Respondents: 
1,231; Total Annual Responses: 1,231; Total Annual Hours Requested: 
573,646.
    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: May 9, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-12318 Filed 5-15-96; 8:45 am]
BILLING CODE 4120-03-P