[Federal Register Volume 64, Number 155 (Thursday, August 12, 1999)]
[Notices]
[Pages 44031-44032]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-20811]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-0029/0030 and HCFA-R-0107]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Health Care Financing Administration, HSS.
    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: Request for 
Certification as Rural Health Clinic and Rural Health Clinic Survey 
Repot From and Supporting Regulations in 42 CFR 491.1-491.11; Form No.: 
HCFA-0029/0030 (OMB# 0938-0074); Use: The Form HCFA-0029 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-0030 is an

[[Page 44032]]

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: 470; Total Annual Responses: 470; Total Annual Hours: 822.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Determining Third 
Party Liability (TPL) State Plan Preprint and Supporting Regulations in 
42 CFR 433.138; Form No.: HCFA-R-0107 (OMB# 0938-0502); Use: In the 
past, many third party resources were not diligently pursued by State 
governments. In an effort to improve program efficiencies and reduce 
Medicaid expenditures HCFA implemented TPL procedures. The collection 
of TPL information results in significant program savings to the extent 
that liable third parties can be identified and payments can be made 
for services that would otherwise be paid for by the Medicaid program.; 
Frequency: On occasion; Affected Public: Individuals or Households, 
Federal Government, and State, Local, or Tribal Government; Number of 
Respondents: 1,900,000; Total Annual Responses: 1,900,000; Total Annual 
Hours: 329,965.
    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 29, 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. 99-20811 Filed 8-11-99; 8:45 am]
BILLING CODE 4120-03-P