[Federal Register Volume 66, Number 135 (Friday, July 13, 2001)]
[Notices]
[Page 36795]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-17514]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-339]


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 technology to minimize the information collection 
burden.
    Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare Provider 
Cost Report Reimbursement Questionnaire and Supporting Regulations in 
42 CFR 413.20, 413.24, 415.50, 415.55, 415.60, 415.70, 415.150, 
415.152, 415.160, and 415.162; Form No.: HCFA-339 (OMB# 0938-0301); 
Use: The Medicare Provider Cost Report Reimbursement Questionnaire must 
be completed by all providers to assist in preparing an acceptable cost 
report, to ensure proper Medicare reimbursement, and to minimize 
subsequent contact between the provider and its fiscal intermediary. It 
is designed to answer pertinent questions about key reimbursement 
concepts found in the cost report and to gather information necessary 
to support certain financial and statistical entries on the cost 
report. In addition, it provides an audit trail for the fiscal 
intermediary; Frequency: Annually; Affected Public: Business or other 
for-profit, Not-for-profit institutions, and State, local and tribal 
government; Number of Respondents: 33,144; Total Annual Responses: 
33,144; Total Annual Hours: 1,342,332.
    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, DC 20503.

    Dated: June 19, 2001.
John P. Burke III,
HCFA Reports Clearance Officer, Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 01-17514 Filed 7-12-01; 8:45 am]
BILLING CODE 4120-03-P