[Federal Register Volume 64, Number 123 (Monday, June 28, 1999)]
[Notices]
[Page 34661]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-16395]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-222]


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.
    Type of Information Collection Request: Extension of a currently 
approved collection;
    Title of Information Collection: Independent Rural Health Center/
Freestanding Federally Qualified Health Center Cost Report and 
Supporting Regulations in 42 CFR, Section 413.20 and 413.24;
    Form No.: HCFA-222;
    Use: The independent rural health clinic/freestanding federally 
qualified health center (RHC/FQHC) cost report is the cost report to be 
used by the mentioned clinics/centers to submit annual information to 
achieve a settlement of costs for health care services rendered to 
Medicare beneficiaries. This form is used to collect the pertinent 
information from the RHC's and FQHC's in order to determine their 
Medicare cost reimbursement;
    Frequency: Annually;
    Affected Public: Not-for-profit institutions, State, local or 
tribal government, and business or other for-profit;
    Number of Respondents: 3,000;
    Total Annual Responses: 3,000;
    Total Annual Hours Requested: 150,000.
    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, Security and Standards Group, Division of HCFA 
Enterprise Standards, Attention: Dawn Willinghan, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: June 21, 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. 99-16395 Filed 6-25-99; 8:45 am]
BILLING CODE 4120-03-P