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

[Federal Register Volume 64, Number 237 (Friday, December 10, 1999)]
[Notices]
[Pages 69272-69273]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-31990]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-0359/0360/R-0055]


Agency Information Collection Activities: Submission for OMB 
Review; 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: Comprehensive 
Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms 
and Information Collection Requirements in 42 CFR 485.56, 485.58, 
485.60, 485.64, 485.66, 410.105; Form No.: HCFA-0359/0360/R-0055 (OMB # 
0938-0267); Use: In order to participate in the Medicare program as a 
CORF, providers must meet federal conditions of participation. The 
certification form is needed to determine if providers meet at least 
preliminary requirements. The survey form is used to record provider 
compliance with the individual

[[Page 69273]]

conditions and report findings to HCFA; Frequency: Annually; Affected 
Public: State, Local, or Tribal Government; Business or other for-
profit; Number of Respondents: 540; Total Annual Responses: 540; Total 
Annual Hours: 260,848.
    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 http://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, DC 20503.

    Dated: November 17, 1999.
John Parmigiani,
Manager, HCFA Office of Information Services, Security and Standards 
Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-31990 Filed 12-9-99; 8:45 am]
BILLING CODE 4120-03-M