[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