[Federal Register Volume 62, Number 111 (Tuesday, June 10, 1997)]
[Notices]
[Page 31613]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-15121]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-216 and HCFA-2088]


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 summaries 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: Revision of a currently 
approved collection; Title of Information Collection: Organ Procurement 
organization/Histocompatibility Laboratory Statement of Reimbursable 
Cost; Form No.: HCFA-216; Use: This form is required by statute for 
participation in the Medicare program. The information is used to 
determine reasonable costs incurred to furnish treatment to end stage 
renal disease patients by Organ Procurement Organizations and 
Histocompatibility Laboratories. Frequency: Annually; Affected Public: 
Business or other for-profit, Not-for-profit institutions, and State, 
Local or Tribal Government; Number of Respondents: 100; Total Annual 
Hours: 4,500.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Outpatient 
Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 
and 413.24; Form No.: HCFA-2088; Use: This form is used by Outpatient 
Rehabilitation Facilities to report their health care costs to 
determine the amount reimbursable for services furnished to Medicare 
beneficiaries. Frequency: Annually; Affected Public: Business or other 
for-profit, Not-for-profit institutions, and State, Local or Tribal 
Government; Number of Respondents: 4,298; Total Annual Hours: 429,800.
    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: 
Louis Blank, Room C2-26-17, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.

    Dated: June 3, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources.
[FR Doc. 97-15121 Filed 6-9-97; 8:45 am]
BILLING CODE 4120-03-P