[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