[Federal Register Volume 61, Number 227 (Friday, November 22, 1996)]
[Notices]
[Pages 59451-59452]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-29848]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-190, HCFA-R-96]


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: New collection; Title of 
Information Collection: Hospital Standard for Potentially HIV 
Infectious Blood and Blood Products, 42 CFR 482.27; Form No.: HCFA-R-
190; Use: Hospitals must establish policies/procedures and document 
patient notification efforts if they have administered potentially HIV 
infectious blood and blood products.
    Frequency: On occasion; Affected Public: Business or other for-
profit and Not-for-profit institutions; Number of Respondents: 16; 
Total Annual Responses: 16; Total Annual Hours Requested: 16.
    2. Type of Information Collection Request: Extension of currently 
approved collection; Title of Information Collection: Emergency and 
Foreign Hospital Services--Beneficiary Statement In Canadian Travel 
Claims and Supporting Regulation 42 CFR 424.123; Form No.: HCFA-R-96; 
Use: This form is completed by beneficiaries, representative, or 
assignees to support claims for payments for Medicare covered emergency 
services provided in Canada. 42 CFR 424.123 is the regulation 
supporting this collection of information; Frequency: On occasion; 
Affected Public: Individuals or households; Number of Respondents: 
1,100; Total Annual Responses: 1,100; Total Annual Hours: 275.
    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

[[Page 59452]]

within 30 days of this notice directly to the HCFA Paperwork Clearance 
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: November 15, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-29848 Filed 11-21-96; 8:45 am]
BILLING CODE 4120-03-P