[Federal Register Volume 62, Number 64 (Thursday, April 3, 1997)]
[Notices]
[Page 15914]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-8525]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-R-203]


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.
    Type of Information Collection Request: New Collection; Title of 
Information Collection: Data Collection Forms for a Project to Develop 
a Case-Mix Adjustment System for a National Home Health Prospective 
Payment Program; Form No.: HCFA-R-203; Use: The data collection from 
this form will support analysis of home health utilization patterns and 
develop predictive models of home health resource use. That will serve 
as the basis for a system to adjust payments for Medicare home health 
services for differences/changes in patient service needs; Frequency: 
On Occasion; Affected Public: Not-for-profit, Business or other for-
profit; Number of Respondents: 893,629; Total Annual Responses: 
893,629; Total Annual Hours: 52,156.
    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 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: March 11, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-8525 Filed 4-2-97; 8:45 am]
BILLING CODE 4120-03-P