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

[Federal Register Volume 63, Number 237 (Thursday, December 10, 1998)]
[Notices]
[Pages 68290-68291]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-32852]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-2088, and HCFA-2540]


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

AGENCY: Health Care Financing Administration, HHS.
    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

[[Page 68291]]

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.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Outpatient 
Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 
and 413.24 Form No.: HCFA-2088 (0938-0037); Use: This form is used by 
Outpatient Rehabilitation Facilities to report their health care costs 
to determine the amount reimbursable for services furnished to Medicare 
beneficiaries. In addition, the fiscal intermediary uses the cost 
report to make settlement with the provider for the cost reporting 
period. Frequency: Annually; Affected Public: Business or other for-
profit, Not-for-profit institutions, and State, Local or Tribal 
Government; Number of Respondents: 4,298; Total Annual Responses: 
4,298; Total Annual Hours: 429,800.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Skilled Nursing 
Facility (SNF) and Skilled Nursing Facility Health Care Complex Cost 
Report, 42 CFR 413.20 and 413.24; Form No.: HCFA-2540 (0938-0463); Use: 
The Skilled Nursing Facility and Skilled Nursing Facility Health Care 
Complex Cost Report is used by freestanding SNFs to submit annual 
information to achieve a settlement of costs for health care services 
rendered to Medicare beneficiaries. In addition, the fiscal 
intermediary uses the cost report to make settlement with the provider 
for the fiscal year. Frequency: Annually; Affected Public: Business or 
other for profit, Not for profit institutions, and State, Local, or 
Tribal government; Number of Respondents: 7,000; Total Annual 
Responses: 7,000; Total Annual Hours Requested: 1,372,000.
    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 www.hcfa.gov/regs/prdact95.htm, or E-mail 
your request, including your address, phone number, OMB number, and 
HCFA document identifier, to Paperwork@hcfa.gov, 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: OMB 
Human Resources and Housing Branch, Attention: Allison Eydt, New 
Executive Office Building, Room 10235, Washington, D.C. 20503.

    Dated: December 3, 1998.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 98-32852 Filed 12-9-98; 8:45 am]
BILLING CODE 4120-03-P