[Federal Register Volume 61, Number 154 (Thursday, August 8, 1996)]
[Notices]
[Pages 41416-41417]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-20235]


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[[Page 41417]]


DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration


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: New Collection; Title of 
Information Collection: Evaluation of the Per-Episode Home Health 
Prospective Payment Demonstration; Form No.: HCFA-R-195; Use: This 
evaluation will collect primary data from samples of patients and from 
demonstration agencies to assess impacts of per-episode payment on 
access to care, quality of care, and the use of non-Medicare services; 
Frequency: Other (one time); Affected Public: Not for profit 
institutions, individuals and households, business or other for profit; 
Number of Respondents: 19,191; Total Annual Hours: 1,901.
    2. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: ICR in the Hospice Care 
Regulation for 42 [email protected], 418.24, 418.28, 418.56(b), 418.56(e)(1), 
418.56(e)(3), 418.58, 418.70(d), 418.70(e), 418.74, 418.83, 418.96(b) 
and 418.100(b); Form No.: HCFA-R-30; Use: The HCFA-R-30 establishes 
standards for hospices who wish to participate in the Medicare program. 
The regulations establish standards for eligibility, reimbursement 
standards and procedures, and delineate conditions that hospices must 
meet to be approved for participation in Medicare. Frequency: On 
occasion; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 1,927; Total Annual 
Responses: 1,927; Total Annual Hours Requested: 3,977,762.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Blood Bank 
Inspection Checklist and Report; Form No.: HCFA-282; Use: The blood 
bank inspection checklist instrument is used by State agency to record 
data collected as part of the survey and certification process to 
determine compliance with the requirement for blood bank services under 
Clinical Laboratory Improvement Amendments; Frequency: Biennially; 
Affected Public: State, local, and tribal government, business or other 
for profit, not for profit institutions, federal government; Number of 
Respondents: 2,500; Total Annual Hours: 1,250.
    To obtain copies of the supporting statement and any related forms, 
E-mail your request, including your address and phone number, 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: August 2, 1996.
Edwin J. Glatzel,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-20235 Filed 8-7-96; 8:45 am]
BILLING CODE 4120-03-P