[Federal Register Volume 62, Number 158 (Friday, August 15, 1997)]
[Notices]
[Page 43738]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-21654]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-437]


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: Extension of a currently 
approved collection; Title of Information Collection: Psychiatric Unit 
Criteria Work Sheet, Rehabilitation Unit Criteria Work Sheet, 
Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations 
42 CFR 412.20-412.32; Form No.: HCFA-437; Use: Rehabilitation hospitals 
and Psychiatric hospital units that are excluded from the Medicare 
Prospective Payment System (PPS) must complete the criteria work sheets 
to verify and reverify that they comply and remain in compliance with 
the exclusion criteria for the Medicare prospective payment system. 
These forms capture information that will allow Medicare to reimburse 
these facilities on the basis of nationally-determined average 
standardized amounts, i.e., a prospective payment type system. 
Frequency: Annually; Affected Public: Business or other for-profit, 
Not-for-profit institutions and State, Local or Tribal Government; 
Number of Respondents: 2,555; Total Annual Responses: 2,555; Total 
Annual Hours: 639.
    2.Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Reconciliation of 
State Invoice and Prior Quarter Adjustment Statement; Form No.: HCFA-
304A; Use: In response to a need for improved data exchange between 
drug labelers and States, HCFA, in conjunction with outside 
consultants, developed the Reconciliation of State Invoice (ROSI), form 
HCFA-304, and the Prior Quarter Adjustment Statement (PQAS), form HCFA-
304A. The ROSI is to be used by drug labelers when responding to State 
invoices of current quarter utilization data only, and functions as a 
reconciliation report to assure accurate drug rebate payments. The PQAS 
is used by drug labelers to report only on prior quarter actions/
payments. Prior quarter activity includes changes to utilization data 
submitted by States, revisions to previously disputed units, and prior 
period adjustments (URA changes). Both forms assist in reducing 
disputes by standardizing data exchange and improving communication 
between drug labelers and States. Frequency: Quarterly; Affected 
Public: Business or other for-profit; Number of Respondents: 365; Total 
Annual Responses: 1,460; Total Annual Hours: 132,120.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, 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 Information Services, Information Technology 
Investment Management Group, Division of HCFA Enterprise Standards, 
Attention: John Rudolph, Room C2-26-17, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: August 5, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards, 
Health Care Financing Administration.
[FR Doc. 97-21654 Filed 8-14-97; 8:45 am]
BILLING CODE 4120-03-P