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

[Federal Register Volume 64, Number 187 (Tuesday, September 28, 1999)]
[Notices]
[Page 52332]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-25098]



[[Page 52332]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-222]


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: Independent Rural Health Center/
Freestanding Federally Qualified Health Center Cost Report and 
Supporting Regulations in 42 CFR, Section 413.20 and 413.24;
    Form No.: HCFA-222;
    Use: The independent rural health clinic/freestanding federally 
qualified health center (RHC/FQHC) cost report is the cost report to be 
used by the mentioned clinics/centers to submit annual information to 
achieve a settlement of costs for health care services rendered to 
Medicare beneficiaries. This form is used to collect the pertinent 
information from the RHC's and FQHC's in order to determine their 
Medicare cost reimbursement.;
    Frequency: Annually;
    Affected Public: Not-for-profit institutions, State, local or 
tribal government, and Business or other for-profit;
    Number of Respondents: 3,000;
    Total Annual Responses: 3,000;
    Total Annual Hours Requested: 150,000.
    To obtain copies of the supporting statement 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 and phone number, 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 
designated at the following address: OMB Human Resources and Housing 
Branch, Attention: Allison Eydt, New Executive Office Building, Room 
10235, Washington, DC 20503.

    Dated: September 1, 1999.
John Parmigiani,
Manager, HCFA, Office of Information Services, Security and Standards 
Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-25098 Filed 9-27-99; 8:45 am]
BILLING CODE 4120-03-P