[Federal Register Volume 61, Number 112 (Monday, June 10, 1996)]
[Notices]
[Page 29408]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-14480]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

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

AGENCY: Health Care Financing Administration, HHS.

    In compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. 
3501 et seq.), the Health Care Financing Administration (HCFA), 
Department of Health and Human Services, has submitted to the Office of 
Management and Budget (OMB) the following proposals 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: Physical Therapist in 
Independent Practice Survey Report; Form No.: HCFA-3042; Use: The 
Medicare Program requires physical therapists in an independent 
practice to meet certain health and safety requirements. The survey 
report records the results of an onsite survey to confirm that the 
health and safety requirements are met; Frequency: On occasion; 
Affected Public: Business or other for profit; Number of Respondents: 
2,196; Total Annual Hours: 2,196.
    2. Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Health Maintenance 
Organization (HMO) and Competitive Medical Plan (CMP) National Data 
Reporting Requirements (NDRR); Form No.: HCFA-906; Use: The NDRR 
provides the Office of Managed Care staff with information required to 
effectively monitor and evaluate the progress and effectiveness of the 
HMO/CMPs as appropriate. This ensures the protection of Federal 
investment and enrolled members of HMO/CMPs. Additionally, the NDRR 
provides statistical data for continued regulation; Frequency: 
Quarterly, annually; Affected Public: Business or other for profit, not 
for profit institutions, and state, local or tribal governments; Number 
of Respondents: 292; Total Annual Hours: 2,920.
    3. Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Identification of Extension 
Units of Outpatient Physical Therapy and Outpatient Speech Pathology 
Providers; Form No.: HCFA-381; Use: The Medicare Program requires 
outpatient physical therapy and outpatient speech pathology (OPT/OSP) 
providers to be surveyed to determine compliance with Federal 
requirements. The HCFA-381 is the form used to identify OPT/OSP 
locations; Frequency: Annually; Affected Public: Business or other for 
profit; Number of Respondents: 2,300; Total Annual Hours: 575.
    4. Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Fire Safety Survey Report; 
Form No.: HCFA-2786 A,B,C,D,F,G,H,J,K,L,M,P,Q; Use: These forms are 
used by the State Agency to record data collected in order to determine 
compliance with individual conditions during fire safety surveys and 
report it to the Federal Government; Frequency: Annually; Affected 
Public: State, local or tribal governments; Number of Respondents: 53; 
Total Annual Hours: 20,637.
    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: June 3, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-14480 Filed 6-7-96; 8:45 am]
BILLING CODE 4120-03-P