[Federal Register Volume 61, Number 164 (Thursday, August 22, 1996)]
[Notices]
[Page 43373]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-21425]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-9026]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, HHS.
    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, is 
publishing the following summaries of proposed collections for public 
comment. Interested persons are invited to send comments regarding this 
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. HCFA-9026 Type of Information Collection Request: Reinstatement, 
without change, of previously approved collection for which approval 
has expired; Title of Information Collection: Intermediary Request to 
Hospitals for Medical Information on Inpatient Claims for Statutorily 
Excluded Services/SSA 1862; 42 CFR 411.15; FR Vol. 60 No. 181; Form 
No.: HCFA-9026; Use: This information request is to enable 
intermediaries to obtain hospital medical records for inpatient claims 
involving statutorily excluded services and other non-covered services 
and devices. 42 CFR 411.15 is the regulation supporting this collection 
of information; Frequency: On occasion; Affected Public: Business or 
other for profit, not for profit institutions, State, local, or tribal 
governments, Federal government; Number of Respondents: 5,258; Total 
Annual Responses: 20,355; Total Annual Hours: 5,088.
    2. HCFA-R-30 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. As a note, 
this collection was inadvertently announced in the Federal Register, on 
8/8/96, as a 30 day comment request.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS 
at http://www.hcfa.gov, or to obtain 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 must be mailed within 60 days of this notice 
directly to the HCFA Paperwork Clearance Officer designated at the 
following address: HCFA, Office of Financial and Human Resources, 
Management Planning and Analysis Staff, Attention: John Burke, Room C2-
26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 14, 1996.
Edwin J. Glatzel,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-21425 Filed 8-21-96; 8:45 am]
BILLING CODE 4120-03-P