[Federal Register Volume 61, Number 162 (Tuesday, August 20, 1996)]
[Notices]
[Page 43062]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-21102]



[[Page 43062]]

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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: Reinstatement, without 
change, of previously approved collection for which approval has 
expired; Title of Information Collection: Withholding Medicare Payments 
to Recover Medicaid Overpayments; Form No.: HCFA-R-21; Use: Medicaid 
providers who have received overpayments may terminate or substantially 
reduce their participation in Medicaid to avoid the State's effort to 
recover the amounts due. This provision establishes a mechanism for 
State agencies to recoup the overpayments by withholding Medicare 
payments to these providers; Frequency: On occasion; Affected Public: 
State, local or tribal governments; Number of Respondents: 54; Total 
Annual Hours: 81.
    2. Type of Information Collection Request: Reinstatement, without 
change, of previously approved collection for which approval has 
expired; Title of Information Collection: Information Collection 
Requirements in HSQ-110, Acquisition, Protection and Disclosure of Peer 
Review Organization (PRO) Information-42 CFR Sections 476.104, 476.105, 
476.116, and 476.134; Form No.: HCFA-R-70; Use: ``Medicare Disclosure 
Information, Regulatory'' The Peer Review Improvement Act of 1982 
authorizes PRO's to acquire information necessary to fulfill their 
duties and functions and places limits on disclosure of the 
information. These requirements are on the PRO to provide notices to 
the affected parties when disclosing information about them. These 
requirements serve to protect the rights of the affected parties; 
Frequency: On occasion; Affected Public: Business or other for profit; 
Number of Respondents: 53; Total Annual Hours: 30,577.
    3. Type of Information Collection Request: Reinstatement, without 
change, of previously approved collection for which approval has 
expired; Title of Information Collection: Prepaid Health Plan Cost 
Report; Form No.: HCFA-276; Use: These forms are needed to establish 
the reasonable cost providing covered services to the enrolled Medicare 
population of an HMO in accordance with Section 1876 of the Social 
Security Act; Frequency: Quarterly, Annually; Affected Public: Business 
or other for profit; Number of Respondents: 82; Total Annual Hours: 
9,934.
    4. Type of Information Collection Request: Reinstatement, without 
change, of previously approved collection for which approval has 
expired; Title of Information Collection: Medicare Credit Balance 
Reporting Requirements; Form No.: HCFA-838; Use: The collection of 
credit balance information is needed to ensure that millions of dollars 
in improper program payments are collected. Approximately 37,600 health 
care providers will be required to submit a quarterly credit balance 
report that indicates the amount of improper payments they received 
that are due to Medicare. The intermediaries will monitor the reports 
to ensure these funds are collected; Frequency: Quarterly; Affected 
Public: Not for profit institutions; Number of Respondents: 37,600; 
Total Annual Hours: 902,400.
    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, DC 20503.

    Dated: August 12, 1996.
Edwin J. Glatzel,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-21102 Filed 8-19-96; 8:45 am]
BILLING CODE 4120-03-P