[Federal Register Volume 65, Number 54 (Monday, March 20, 2000)]
[Notices]
[Page 14985]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-6739]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-643]


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 request; Title of Information Collection: Hospice Survey and 
Deficiencies Report Form and Supporting Regulations at 42 CFR Part 
418.1-418.405; Form No.: HCFA-643 (OMB# 0938-0379); Use: In order to 
participate in the Medicare program, a hospice must meet certain 
Federal health and safety conditions of participation. This form will 
be used by State surveyors to record data about a hospice's compliance 
with these conditions of participation in order to initiate the 
certification or recertification process; Frequency: Annually; Affected 
Public: State, local or tribal government; Number of Respondents: 
2,293; Total Annual Responses: 2,293; Total Annual Hours: 5,733.
    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: Julie Brown, Room N2-14-26, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: March 8, 2000.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
HCFA Enterprise Standards
[FR Doc. 00-6739 Filed 3-17-00; 8:45 am]
BILLING CODE 4120-03-P