[Federal Register Volume 61, Number 110 (Thursday, June 6, 1996)]
[Notices]
[Pages 28882-28883]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-14208]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[2728, R-142]


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.
    1. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: End Stage Renal Disease 
Medical Evidence Report Medicare Entitlement and/or Patient 
Registration; Form No.: HCFA-2728; Use: This form captures the 
necessary medical information required to determine Medicare 
eligibility of an end stage renal disease claimant. It also captures 
the specific medical data required for research and policy decisions on 
this population as required by law. Frequency: Annually; Affected 
Public: Individuals or households, Business or other for-profit, Not-
for-profit institutions; Number of Respondents: 60,000; Total Annual 
Hours Requested: 25,000.
    2. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Information Collection 
Requirements Contained in BPD-393, Examination and Treatment for 
Emergency Medical Conditions and Women in Labor; Form No.: HCFA-R-142; 
Use: BPD-393 contains information collection requirements for hospitals 
that would seek to prevent them from inappropriately transferring 
individuals with emergency medical conditions, as mandated by Congress. 
HCFA will use this information to help assure compliance with this 
mandate. This information is not contained elsewhere in regulations. 
Frequency: On occasion; Affected Public: Individuals or households, 
Not-for-profit institutions, Federal Government, and State, Local or 
Tribal Government; Number of Respondents: 7,000; Total Annual 
Responses: 7,000; Total Annual Hours Requested: 8,818,577.
    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

[[Page 28883]]

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 29, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-14208 Filed 6-5-96; 8:45 am]
BILLING CODE 4120-03-P