[Federal Register Volume 63, Number 69 (Friday, April 10, 1998)]
[Notices]
[Pages 17877-17878]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-9456]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-2088, HCFA-2540, and HCFA-2552]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration.
    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 this 
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: Outpatient 
Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 
and 413.24 Form No.: HCFA-2088 (0938-0037); 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. In addition, the

[[Page 17878]]

fiscal intermediary uses the cost report to make settlement with the 
provider for the cost reporting period. 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 Responses: 4,298; Total Annual Hours: 429,800.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Skilled Nursing 
Facility (SNF) and Skilled Nursing Facility Health Care Complex Cost 
Report, 42 CFR 413.20 and 413.24; Form No.: HCFA-2540 (0938-0463); Use: 
The Skilled Nursing Facility and Skilled Nursing Facility Health Care 
Complex Cost Report is used by freestanding SNFs to submit annual 
information to achieve a settlement of costs for health care services 
rendered to Medicare beneficiaries. In addition, the fiscal 
intermediary uses the cost report to make settlement with the provider 
for the fiscal year. 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: 1,372,000.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Hospital and 
Hospital Health Care Complex Cost Report, 42 CFR 413.20 and 413.24; 
Form No.: HCFA-2552-96 (OMB No. 0938-0050); Use: This form is required 
by statute and regulation for participation in the Medicare program. It 
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 and any related forms 
for the proposed paperwork collections referenced above, access HCFA's 
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail 
your request, including your address, phone number, OMB number, and 
HCFA document identifier, 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: Louis Blank, 
Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: April 2, 1998.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Information Technology Investment Management Group, Division of HCFA 
Enterprise Standards.
[FR Doc. 98-9456 Filed 4-9-98; 8:45 am]
BILLING CODE 4120-03-P