[Federal Register Volume 62, Number 127 (Wednesday, July 2, 1997)]
[Notices]
[Pages 35823-35824]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-17243]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-R-88 and HCFA-2552]


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: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Information Collection 
Requirements in HCFA Pub 14-3 Section 2120.1-2125 and Section 4115 of 
the Carriers Manual (HCFA-R-88); Use: Verification of ambulance 
compliance with State and Local

[[Page 35824]]

requirements is necessary to determine whether the ambulance qualifies 
for reimbursement under Medicare. Carriers require ambulances providing 
service to Medicare beneficiaries to submit documentation showing that 
they have the required equipment. Frequency: On occasion; Affected 
Public: Business or other for-profit; Number of Respondents: 100; Total 
Annual Hours: 25.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Cost Report for 
Electronic Filing for Hospital and Hospital Health Care Complex Cost 
Report and Supporting Regulations in 42 CFR 413.20 and 413.24; Form 
No.: HCFA-2552-96; Use: This form is required by statute and regulation 
for participation in the Medicare program. The information is used to 
determine final payment for Medicare. Hospitals and related complexes 
are the main users. Frequency: Annually; Affected Public: Business or 
other for-profit, Not-for profit institutions, and State, Local or 
Tribal Government; Number of Respondents: 7,000; Total Annual 
Responses: 7,000; Total Annual Hours Requested: 4,599,000.
    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: June 24, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-17243 Filed 7-1-97; 8:45 am]
BILLING CODE 4120-03-P