[Federal Register Volume 63, Number 24 (Thursday, February 5, 1998)]
[Notices]
[Page 5958]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-2861]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-2728]


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: End Stage Renal Disease 
Medical Evidence Report Medicare Entitlement and/or Patient 
Registration; Form No.: HCFA-2728; Use: This form captures the 
necessary medical information required to determine Medicare 
eligibility of an end stage renal disease claimant. It also captures 
the specific medical data required for research and policy decisions on 
this population as required by law. Frequency: Quarterly, Weekly, Semi-
annually, Monthly, and Annually; Affected Public: Individuals or 
Households; Number of Respondents: 60,000; Total Annual Responses: 
60,000; Total Annual Hours: 25,000.
    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: January 27, 1998.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards, 
Health Care Financing Administration.
[FR Doc. 98-2861 Filed 2-4-98; 8:45 am]
BILLING CODE 4120-03-P