[Federal Register Volume 61, Number 237 (Monday, December 9, 1996)]
[Notices]
[Pages 64913-64914]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-31145]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-3070G-I]


Agency Information Collection Activities: Proposed Collection; 
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, is 
publishing the following summary of proposed collections for public 
comment. 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; Title of Information Collection: Intermediate Care Facility for 
the Mentally Retarded or Persons with Related Conditions Survey Report 
Form and Supporting Regulations 42 CFR Sections 431, 435, 440, 442 and 
483, Subpart I ; Form No.: HCFA 3070G-I; Use: The survey form and 
supporting regulations are needed to ensure provider compliance. In 
order to participate in the Medicaid program as an Intermediate Care 
Facility for the Mentally Retarded (ICF/MR), providers must meet 
Federal standards. The survey report form is used to record providers' 
compliance with the individual standard and report it to the Federal 
Government. Frequency: annually; Affected Public: Business or other 
for-profit, Not for-profit institutions, State, Local or Tribal Govt.; 
Number of Respondents: 7200; Total Annual Responses: ,7200; Total 
Annual Hours: 6,074,370.
    2. Type of Information Collection Request: Extension of currently 
approved collection; Title of Information Collection: Medicare Current 
Beneficiary Survey Supplement-Round 18; Form No.: HCFA-P-15A; Use: The 
Office of the Actuary, HCFA, conducts the Medicare Current Beneficiary 
Survey (MCBS) through personal interviews of a random sample of 
Medicare beneficiaries. When sampled persons are found to reside in a 
long-term care facility, interviewers use a version of the 
questionnaire which is specially designed to obtain data about the 
beneficiary's health care from knowledgeable staff members. We are 
preparing to convert the facility interview from a hardcopy 
questionnaire to a Computer Assisted Personal Interviewing (CAPI) 
format beginning in May, 1997. CAPI, which we are currently using in 
the community interviews, increases the accuracy of the interview 
process by automating skip patterns, customizing questions, creating 
computed variables such as a time line of residence history, and 
automatically checking completeness and consistency of responses. 
Concurrently, we are modifying some of the questions we currently use 
in the facility interview to make them more comparable to those in 
other surveys, particularly the Medical Expenditure Panel Survey 
(MEPS). These modifications are responsive to the President's 
initiative toward consistency and integration among surveys; Frequency: 
Annually; Affected Public:; Number of Respondents: 1,900; Total Annual 
Responses: 1,900; Total Annual Hours: 1,900.

[[Page 64914]]

    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/regs/prdact95.htm, 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 Analysis and Planning Staff, Attention: 
John Rudolph, Room C2-25-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    Dated: December 2, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources.
[FR Doc. 96-31145 Filed 12-6-96; 8:45 am]
BILLING CODE 4120-03-P