[Federal Register Volume 62, Number 243 (Thursday, December 18, 1997)]
[Notices]
[Page 66375]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-33064]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-265]


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.
    Type of Information Collection Request: Reinstatement without 
change of a previously approved collection for which approval has 
expired; Title of Information Collection: Independent Renal Dialysis 
Facility Cost Report Form and Supporting Regulations 42 CFR 413.198, 
413.20; Form No.: HCFA-265; Use: The Medicare Independent Renal 
Dialysis Facility Cost Report provides for determinations and 
allocation of costs to the components of the Renal Dialysis facility in 
order to establish a proper basis for Medicare payment. Frequency: 
Annually; Affected Public: Business or other for profit; Number of 
Respondents: 2,472; Total Annual Responses: 2,472; Total Annual Hours: 
484,512.
    2. Type of Information Collection Request: New Collection; Title of 
Information Collection: Evaluation of the Oregon Medicaid Reform 
Demonstration: Phase II Adult Interview, Phase II Child Interview, 
Survey of Agency Providers; Form No.: HCFA-R-221; Use: These survey 
instruments will be used to evaluate the Oregon Medicaid Reform 
Demonstration. The Phase II Adult and Phase II Child interviews are 
designed to collect information on health status, access to care and 
past health insurance status for adults and children participating in 
Phase II of the Oregon Health Plan (OHP). The survey of Agency 
providers is designed to collect information on the experience under 
OHP of agencies that traditionally treat disabled and elderly Medicaid 
beneficiaries. Frequency: One Time; Affected Public: Individuals or 
Households, Business or other for-profit, Not-for-profit institutions, 
and State, Local or Tribal Governments; Number of Respondents: 4,150; 
Total Annual Responses: 4,150; Total Annual Hours: 1,730.
    3. Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Health Maintenance 
Organizations & Competitive Medical Plans National Data Reporting 
Requirements and Supporting Regulations 42 CFR 417.100, .940, .126, 
.478, .162; Form No.: HCFA-906; Use: This form captures information 
which governs qualification of new Health Maintenance Organizations 
(HMOs) and the eligibility of Competitive Medical Plans (CMPs), 
employer compliance, recovery of Federal loan and loan guarantees, 
financial disclosure, and continuing regulation of qualified HMOs and 
CMPs which provide health care services to beneficiaries for a fixed 
fee which is paid on a periodic basis. Frequency: Other; Annually, 
Quarterly; Affected Public: Federal Government, Business or other for-
profit, Not-for-profit institutions, State, local or Tribal Government; 
Number of Respondents: 313; Total Annual Responses: 953; Total Annual 
Hours: 3,130.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, or 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: December 11, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards, 
Health Care Financing Administration.
[FR Doc. 97-33064 Filed 12-17-97; 8:45 am]
BILLING CODE 4120-03-P