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

[Federal Register Volume 64, Number 237 (Friday, December 10, 1999)]
[Notices]
[Page 69274]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-32035]


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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: 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: 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 416.150; Form No.: HCFA-0377/0378/R-0054 (OMB# 
0938-0266); Use: The ambulatory surgical center (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 HCFA's 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 and Other: One-time; Affected Public: Business or 
other for-profit; State, Local, or Tribal Government; Number of 
Respondents: 2,798; Total Annual Responses: 2,931; Total Annual Hours: 
1,434.
    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: November 10, 1999.
John Parmigiani,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-32035 Filed 12-9-99; 8:45 am]
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