[Federal Register Volume 63, Number 75 (Monday, April 20, 1998)]
[Notices]
[Pages 19502-19503]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-10385]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-416, HCFA-855, and HCFA-R-227]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, HHS.

    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: Extension of a currently 
approved collection; Title of Information Collection: Annual Early and 
Periodic Screening, Diagnostic, and Treatment Services (EPSDT) 
Participation Report and Supporting Regulations in 42 CFR 441.60; Form 
No.: HCFA-416 (OMB# 0938-0354); Use: States are required to submit an 
annual report on the provision of EPSDT services to HCFA pursuant to 
section 1902(a)(43) of the Social Security Act. These reports provide 
HCFA with data necessary to assess the effectiveness of State EPSDT 
programs. It is also helpful in developing trend patterns, national 
projections, responding to inquiries, and determining a State's results 
in achieving its participation goal; Frequency: Annually; Affected 
Public: State, Local or Tribal Government; Number of Respondents: 56; 
Total Annual Responses: 56; Total Annual Hours: 1,568.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Other Federal Health Care Programs Provider/Supplier Enrollment 
Application; Form No.: HCFA-855 (OMB# 0938-0685); Use: This information 
is needed to enroll providers and suppliers into the Medicare program 
by identifying them, pricing and paying their claims, and verifying 
their qualifications and eligibility to participate in Medicare; 
Frequency: Initial Enrollment/Recertification; Affected Public: 
Business or other for-profit, Individuals or Households, Not-for-profit 
institutions, and Federal Government; Number of Respondents: 225,000; 
Total Annual Responses: 225,000; Total Annual Hours: 435,000.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Research and 
Analytic Support for Implementing Peformance Measurement in Medicare 
Fee for Service; Form No.: HCFA-R-227 (OMB# 0938-0718); Use: As 
required by the Balanced Budget Act (BBA), Section 1851(d), the Health 
Care Financing Administration (HCFA) needs to develop comparable 
performance measures for Fee For Service (FFS) Medicare. This project 
will enable HCFA to evaluate the effectiveness and outcomes of FFS 
services purchased. HCFA may potentially disseminate this information 
to Medicare beneficiaries so that they may make informed health care 
choices; Frequency: Biennially; Affected Public: Individuals or 
Households, Business or other for-profit, Not-for-profit institutions, 
Farms, Federal Government, and State, Local or Tribal Government; 
Number of Respondents: 6,670; Total Annual Responses: 6,670; Total 
Annual Hours: 3,335.
    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

[[Page 19503]]

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 10, 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. 98-10385 Filed 4-17-98; 8:45 am]
BILLING CODE 4120-03-P