[Federal Register Volume 61, Number 139 (Thursday, July 18, 1996)]
[Notices]
[Page 37487]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-18242]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-222, R-43]


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: Revision of a currently 
approved collection; Title of Information Collection: Independent Rural 
Health Center/Freestanding Federally Qualified Health Center Cost 
Report; Form No.: HCFA-222; Use: The independent rural health clinic/
freestanding federally qualified health center cost report is the cost 
report to be used by the mentioned clinics/centers to submit annual 
information to achieve a settlement of costs for health care services 
rendered to Medicare beneficiaries. Frequency: Annually; Affected 
Public: Business or other for-profit, Not-for-profit institutions, and 
State, local or tribal government; Number of Respondents: 3,000; Total 
Annual Responses: 3,000; Total Annual Hours Requested: 150,000.
    2. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Conditions of Participation 
for Portable X-ray Suppliers (42 CFR 405 Subpart N); Form No.: HCFA-R-
43; Use: This information is needed to determine if portable X-ray 
suppliers are in compliance with published health and safety 
requirements. Frequency of Record keeping: Retain records for two 
years; Affected Public: Business or other-for-profit; Number of 
Respondents: 554; Total Annual Responses: 554; Total Annual Hours 
Requested: 1,385.
    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: July 11, 1996
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-18242 Filed 7-17-96; 8:45 am]
BILLING CODE 4120-03-P