[Federal Register Volume 65, Number 194 (Thursday, October 5, 2000)]
[Notices]
[Pages 59433-59434]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-25581]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier:HCFA-730/182 & HCFA-R-77]


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

    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, has 
submitted to the Office of Management and Budget (OMB) the following 
proposal for the collection of information. Interested persons are 
invited to send comments regarding the 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

[[Page 59434]]

technology to minimize the information collection burden.
    (1) Type of Information Collection Request: New Collection;
    Title of Information Collection: Employee Building Pass Application 
and File;
    Form No.: HCFA-730 & 182 (OMB# 0938-NEW);
    Use: The purpose of this system and the forms are to control United 
States Government Building Passes issued to all HCFA employees and non-
HCFA employees who require continuous access to HCFA buildings in 
Baltimore and other HCFA and HHS buildings.;
    Frequency: Other; as needed;
    Affected Public: Federal Government, and business or other for-
profit;
    Number of Respondents: 150;
    Total Annual Responses: 150;
    Total Annual Hours: 37.50.

    (2) Type of Information Collection Request: Extension of a 
currently approved collection;
    Title of Information Collection: Limitation on Liability and 
Information Collection Requirements Referenced in 42 CFR 411.404, 
411.406, and 411.408;
    Form No.: HCFA-R-77 (OMB# 0938-0465);
    Use: The Medicare program requires to provide written notification 
of noncovered services to beneficiaries by the providers, 
practitioners, and suppliers. The notification gives the beneficiary, 
provider, practitioner, or supplier knowledge that Medicare will not 
pay for items or services mentioned in the notification. After this 
notification, any future claim for the same or similar services will 
not be paid by the program and the affected parties will be liable for 
the noncovered services.;
    Frequency: Other; as needed;
    Affected Public: Individuals or households;
    Number of Respondents: 890,826;
    Total Annual Responses: 3,563,304;
    Total Annual Hours: 296,942.
    To obtain copies of the supporting statement 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 and phone number, 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 30 days of this notice directly to the OMB Desk Officer 
designated at the following address: OMB Human Resources and Housing 
Branch, Attention: Allison Eydt, New Executive Office Building, Room 
10235, Washington, D.C. 20503.

    Dated: September 11, 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. 00-25581 Filed 10-4-00; 8:45 am]
BILLING CODE 4120-03-P