[Federal Register Volume 64, Number 103 (Friday, May 28, 1999)]
[Notices]
[Pages 29048-29049]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-13649]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-0029/0030, R-0106, and R-0284]


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.

[[Page 29049]]

    Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Certification as Rural Health Clinic and Rural Health Clinic Survey 
Report Form and Supporting Regulations in 42 CFR 491.1-491.11; Form 
No.: HCFA-0029/0030 (OMB# 0938-0074); Use: The Form HCFA-29 is utilized 
as an application to be completed by suppliers of RHC services 
requesting participation in the Medicare/Medicaid programs. This form 
initiates the process of obtaining a decision as to whether the 
conditions for certification are met as a supplier of RHC services. It 
also promotes data reduction or introduction to and retrieval from the 
Online Survey and Certification and Reporting System (OSCAR) by the 
HCFA Regional Offices (RO). The Form HCFA-30 is an instrument used by 
the State survey agency to record data collected in order to determine 
RHC compliance with individual conditions of participation and to 
report it to the Federal government. The form is primarily a coding 
worksheet designed to facilitate data reduction (keypunching) and 
retrieval into OSCAR at the HCFA ROs. The form includes basic 
information on compliance (i.e., met, not met and explanatory 
statements) and does not require any descriptive information regarding 
the survey activity itself; Frequency: Annually; Affected Public: 
State, Local, or Tribal Government; Number of Respondents: 390; Total 
Annual Responses: 390; Total Annual Hours: 822.
    Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Criteria for Medicare 
Coverage of Heart Transplants; Form No.: HCFA-R-0106 (OMB# 0938-0490); 
Use: Medicare participating hospitals must file an application to be 
approved for coverage and payment of heart transplants performed on 
Medicare beneficiaries. Heart transplants performed in facilities that 
have not been approved will not be covered by Medicare; Frequency: 
Annually; Affected Public: Business or other for-profit; Number of 
Respondents: 5; Total Annual Responses: 5; Total Annual Hours: 500.
    Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicaid 
Statistical Information System (MSIS); Form No.: HCFA-R-0284 (OMB# 
0938-0345); Use: State data are reported by a Federally mandated 
process known as MSIS. These data are the basis for: Medicaid actuarial 
forecasts for service utilization and costs; Medicaid legislative 
analysis and cost savings estimates; and responding to requests for 
information from HCFA components, the Department, Congress, and other 
customers. The national MSIS database will contain details that will 
allow constructive or predictive analysis of today's Medicaid issues 
(e.g., pregnant women, and infants); Frequency: Quarterly and Annually; 
Affected Public: State, Local, or Tribal Government; Number of 
Respondents: 53; Total Annual Responses: 212; Total Annual Hours: 
2,210.
    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, Security and Standards Group, Division of HCFA 
Enterprise Standards, Attention: Louis Blank, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: May 20, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-13649 Filed 5-27-99; 8:45 am]
BILLING CODE 4120-03-P