[Federal Register Volume 66, Number 172 (Wednesday, September 5, 2001)]
[Notices]
[Pages 46463-46464]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-22177]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-296]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid 
Services (CMS) ( formerly known as 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 
currently approved collection; Title of Information Collection: Home 
Health Advance Beneficiary Notice of Liability and Supporting 
Regulations in 42 CFR 484.10(a); Form No.: HCFA-R-296 (OMB# 0938-0781); 
Use: Home health agencies must provide proper written notice to 
Medicare beneficiaries in advance of furnishing home health care they 
believe that Medicare will not pay for before reducing, terminating, or 
denying services to a Medicare beneficiary; Frequency: On occasion; 
Affected Public: Not-for-profit institutions, business or other for-
profit; Number of Respondents: 8,326; Total Annual Responses: 180,000; 
Total Annual Hours: 15,000. To obtain copies of the supporting 
statement and any related forms for the proposed paperwork collections 
referenced above, access CMS'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 CMS Paperwork Clearance Officer designated at the following 
address:
    CMS, Office of Information Services, Security and Standards Group, 
Division of CMS Enterprise Standards, Attention: Julie Brown, Attn. 
CMS-R-296, Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.


[[Page 46464]]


    Dated: August 28, 2001.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
CMS Enterprise Standards.
[FR Doc. 01-22177 Filed 9-4-01; 8:45 am]
BILLING CODE 4120-03-P