Agency Information Collection Activities: Proposed Collection; Comment Request

[Federal Register Volume 64, Number 146 (Friday, July 30, 1999)]
[Notices]
[Page 41444]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-19482]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-0377/0378/R-0054]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration.
    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: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Certification, HCFA-377 and the Ambulatory Surgical Center Survey 
Report Form, HCFA-378 and HCFA-R-0054 Supporting Regulations Contained 
in 42 CFR 416.1 thru 416.49; Form No.: HCFA-0377/0378/R-0054 (OMB# 
0938-0200); Use: The ASC request for certification form is utilized as 
an application for facilities wishing to participate in the Medicare 
program as an ASC. This form initiates the process of obtaining a 
decision as to whether the conditions of coverage are met. It also 
promotes data retrieval from the Online Data Input Edit (ODIE system, a 
subsystem of the Online Survey Certification and Report (OSCAR) system 
by the Health Care Financing Administration's (HCFA) Regional Offices 
(RO)). The ASC report form is an instrument used by the State survey 
agency to record data collection in order to determine supplier 
compliance with individual conditions of coverage and to report it to 
the Federal government. The form is primarily a coding worksheet 
designed to facilitate data reduction and retrieval into the ODIE/OSCAR 
system at the HCFA ROs. This form includes basic information on 
compliance (i.e., met, not met and explanatory statements) and does not 
require any descriptive information regarding the survey activity 
itself.; Frequency: Annually; Affected Public: State, Local, or Tribal 
Government; Number of Respondents: 2,798; Total Annual Responses: 
2,798; Total Annual Hours: 2,100.
    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 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: Louis Blank, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: July 22, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-19482 Filed 7-29-99; 8:45 am]
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