[Federal Register Volume 61, Number 126 (Friday, June 28, 1996)]
[Notices]
[Page 33752]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16604]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-2744, HCFA-2746]


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 Information System ESRD Facility Survey; Form No.: HCFA-2744; 
Use: The ESRD Facility Survey form is completed annually by Medicare 
approved providers of dialysis and transplant services. The HCFA-2744 
is designed to collect information concerning treatment trends, 
utilization of services and patterns of practice in treating ESRD 
patients. Frequency: Annually; Affected Public: Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 3,200; 
Total Annual Responses: 3,200; Total Annual Hours Requested: 25,600.
    2. 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 Death 
Notification; Form No.: HCFA-2746; Use: The form is completed by all 
Medicare approved ESRD facilities upon the death of an ESRD patient. 
Its primary purpose is to collect fact and cause of death. Reports of 
deaths are used to show cause of death and demographic characteristics 
of these patients. Frequency: On occasion; Affected Public: Business or 
other for-profit, Not-for-profit institutions and Federal Government; 
Number of Respondents: 2,900; Total Annual Responses: 40,600; Total 
Annual Hours Requested: 6,902.
    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 20, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-16604 Filed 6-27-96; 8:45 am]
BILLING CODE 4120-03-P