[Federal Register Volume 65, Number 71 (Wednesday, April 12, 2000)]
[Notices]
[Page 19783]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-9019]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-193]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, DHHS.
    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: Revision of a currently 
approved collection.
    Title of Information Collection: ``Important Message About Medicare 
Rights: Admission, Discharge, & Appeals.'' Title XVIII Section 
1866(a)(1)(M) and Supporting Regulations in 42 CFR 466.78, 489.20, 
489.34, 489.32, 411.404, 412.42, 417.440.
    Form No.: HCFA-R-193 (OMB #0938-0692).
    Use: Hospitals participating in the Medicare program have agreed to 
distribute ``Important Message About Medicare Rights: Admission, 
Discharge, & Appeals'' to beneficiaries during the course of their 
hospital stay and inform them of their impending discharge. Receiving 
this information will provide all Medicare beneficiaries with some 
ability to participate and/or initiate discussions concerning actions 
that may affect their Medicare coverage, payment, and appeal rights in 
response to hospital notification that their care will no longer 
continue.
    Frequency: Other: As needed.
    Affected Public: Individuals or Households, Business or other for-
profit, Not-for-profit institutions, Federal Government, and State, 
Local or Tribal Government.
    Number of Respondents: 6,293.
    Total Annual Responses: 11,000,000.
    Total Annual Hours: 1,100,000.
    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 [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: March 29, 2000.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 00-9019 Filed 4-11-00; 8:45 am]
BILLING CODE 4120-03-P