Agency Information Collection Activities: Proposed Collection; Comment Request

[Federal Register Volume 64, Number 232 (Friday, December 3, 1999)]
[Notices]
[Page 67919]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-31326]



[[Page 67919]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-R-289]


Agency Information Collection Activities: Proposed Collection; 
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 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: Medicare Lifestyle Modification 
Program Demonstration;
    Form No.: HCFA-R-289 (0938-0777);
    Use: The Health Care Financing Administration (HCFA) through its 
Office of Clinical Standards and Quality (OCSQ) is planning to conduct 
a new demonstration to test the feasibility and cost effectiveness of 
cardiovascular lifestyle modification. This demonstration will focus on 
Medicare provider sponsored, lifestyle modification programs designed 
to reverse, reduce, or ameliorate the indications of cardiovascular 
disease (CAD) of Medicare beneficiaries at risk for invasive treatment 
procedures. This demonstration will test the feasibility and cost 
effectiveness of providing payment for cardiovascular lifestyle 
modification program services to Medicare beneficiaries. In addition, 
the demonstration will test the use of contractual agreements for 
administration, claims processing and payment, and routine monitoring 
of quality of care.
    Frequency: On occasion, weekly, monthly, and quarterly;
    Affected Public: Individuals or households, and not-for-profit 
institutions;
    Number of Respondents: 22;
    Total Annual Responses: 9,000;
    Total Annual Hours: 1,500.
    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 https://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: Dawn Willinghan, Room 
N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: November 23, 1999.
John Parmigiani,
Manager, HCFA Office of Information Services, Security and Standards 
Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-31326 Filed 12-2-99; 8:45 am]
BILLING CODE 4120-03-P