[Federal Register Volume 64, Number 131 (Friday, July 9, 1999)]
[Notices]
[Pages 37142-37143]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-17470]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-1856/1893, HCFA-1880/1882, and HCFA-R-0290]


Agency Information Collection Activities: Submission for OMB 
Review; 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;

[[Page 37143]]

(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: Request for 
Certification in the Medicare/Medicaid Program to Provide Outpatient 
Physical Therapy and/or Speech-Language Pathology and the Outpatient 
Physical Therapy and/or Speech-Language Pathology Survey Report Form 
and Supporting Regulations in 42 CFR 485.701-485.729; Form No.: HCFA-
1856/1893 (OMB #0938-00065); Use: The form HCFA-1856 is utilized as an 
application to be completed by suppliers of OPT/SP services requesting 
participation in the Medicare/Medicaid programs. This form initiates 
the process of obtaining a decision as to whether the conditions of 
coverage are met as an OPT/SP supplier. It is used by the HCFA Regional 
Offices (ROs) to enter the new supplier into the Online Survey, 
Certification and Reporting System (OSCAR). The survey report form 
HCFA-1893 is an instrument used by the State survey agency to record 
data collected during an on-site survey of a supplier of OPT/SP 
services to determine compliance with the applicable conditions of 
participation and to report this information to the Federal Government. 
The form is primarily a coding worksheet designed to facilitate data 
reduction and retrieval into the OSCAR system at the HCFA ROs. The form 
includes basic information on compliance (i.e., met, not met, 
explanatory statements) and does not require any descriptive 
information regarding the survey activity itself; Frequency: On 
occasion; Affected Public: Business or other for profit; Number of 
Respondents: 1,700; Total Annual Responses: 255; Total Annual Hours: 
446.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Certification as Supplier of Portable X-ray Services under the 
Medicare/Medicaid Program for Portable X-ray Survey Report and 
Supporting Regulations in 42 CFR 486.100-486.110; Form No.: HCFA-1880/
1882 (OMB #0938-0027); Use: The Medicare program requires portable X-
ray suppliers to be surveyed for health and safety standards. The HCFA-
1880 is used by the surveyor to determine if a portable X-ray applicant 
meets the eligibility requirements. It also promotes data reduction or 
introduction, and retrieval from the Online Survey Certification and 
Reporting (OSCAR) System by the HCFA Regional Offices. The HCFA-1882 is 
the survey form that records survey results. The form is primarily a 
coding work sheet designed to facilitate data reduction and retrieval 
into the OSCAR system at the HCFA Regional Offices; Frequency: On 
occasion; Affected Public: Business or other for profit; Number of 
Respondents: 655; Total Annual Responses: 98; Total Annual Hours: 172.
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Procedures for Making National Coverage 
Decisions; Form No.: HCFA-R-0290 (OMB #0938-NEW); Use: These 
information collection requirements provide the process HCFA will use 
to make a national coverage decision for a specific item or service 
under sections 1862 and 1871 of the Social Security Act. This will 
streamline our decision making process and will increase the 
opportunities for public participation in making national coverage 
decisions; Frequency: As needed; Affected Public: Business or other for 
profit and Not for profit institutions; Number of Respondents: 200; 
Total Annual Responses: 200; Total Annual Hours: 8,000.
    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 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Allison Eydt, New 
Executive Office Building, Room 10235, Washington, D.C. 20503.

    Dated: July 1, 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. 99-17470 Filed 7-8-99; 8:45 am]
BILLING CODE 4120-03-P