Medicare and Medicaid Programs; Approved Information Collection Requirements

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Part 400

[OFH-017-FC]

Medicare and Medicaid Programs; Approved Information Collection

Requirements

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Final rule with comment period.

-----------------------------------------------------------------------

SUMMARY: This final rule updates our display of approved control

numbers for the collection of information that have been assigned to

HCFA by the Office of Management and Budget (OMB). OMB regulations

require each agency to include the approval numbers in the agency's

rules.

DATES: Effective date: This regulation is effective August 2, 1994.

Comment date: Written comments will be considered if we receive

them at the appropriate address, as provided below, no later than 5

p.m. on October 3, 1994.

ADDRESSES: Mail written comments (1 original and 3 copies) to the

following address: Health Care Financing Administration, Department of

Health and Human Services, Attention: OFH-017-FC, P.O. Box 26676,

Baltimore, Maryland 21207.

If you prefer, you may deliver your written comments (1 original

and 3 copies) to one of the following addresses:

Room 309-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW.,

Washington, DC 20201, or

Room 132, East High Rise Building, 6325 Security Boulevard, Baltimore,

MD 21207.

Because of staffing and resource limitations, we cannot accept

comments by facsimile (FAX) transmission. In commenting, please refer

to file code OFH-017-FC. Written comments received timely will be

available for public inspection as they are received, generally

beginning approximately 3 weeks after publication of a document, in

Room 309-G of the Department's offices at 200 Independence Avenue, SW.,

Washington, DC, on Monday through Friday of each week from 8:30 a.m. to

5 p.m. (phone: (202) 690-7890).

FOR FURTHER INFORMATION CONTACT: Zaneta Davis, 410-966-2094.

SUPPLEMENTARY INFORMATION:

I. Background

The Paperwork Reduction Act of 1980 (PRA '80), Public Law 90-620,

Title 44 U.S.C. Chapter 35, requires Federal agencies to minimize

burden and costs associated with information collection. The Director

of OMB promulgated regulations to implement the provisions of PRA '80

at 5 CFR Part 1320. The OMB regulations include a requirement that

Federal agencies obtain OMB approval of collection of information

requirements that are contained in any regulations published by the

agencies in the Federal Register. After approval of the requirement by

OMB, Federal agencies are further required to publish the control

number assigned by OMB as part of the agency's regulations text.

To comply with the OMB requirement and as a means of notifying the

public that HCFA's information collection requirements have been

approved, we have established a general regulation under 42 CFR 400.310

to display the valid OMB control numbers and the applicable regulation

sections. We routinely update our regulation to add the most recent

assignment of OMB control numbers or to delete entries that are no

longer in effect.

II. Provisions of the Rule

Our display of valid OMB numbers was last updated on December 2,

1992 (57 FR 56997). We are revising our table at Sec. 400.310 to add

the following approved sections.

42 CFR Sections

405.512.

417.436.

424.3, 424.32, and 424.34.

431.107.

433.68, and 433.74.

434.27 and 434.28.

441.351, 441.352, 441.353, 441,356, and 441.365.

442.505.

447.253, 447.272, and 447.299.

483.10, 483.410, 483.420, 483.440, 483.460, and 483.470.

484.10, 484.12, 484.14, 484.36, and 484.52. (See note below)

493.614, 493.633, and 493.634.

494.52, 494.54, 494.56. 494.58, and 494.64.

In addition, we are deleting from the table Secs. 405.1221 and

405.1229, which were approved under OMB control number 0938-0365.

(Note: On August 14, 1989 (54 FR 33367), Sec. 405.1221 was

redesignated as Sec. 484.12, and Sec. 405.1229 was redesignated as

Sec. 484.52. The approved information collections for the

redesignated sections are already included in the table.)

For the convenience to the reader the entire updated table is being

presented in this final rule.

III. Regulatory Impact Statement

We generally prepare a regulatory flexibility analysis that is

consistent with the Regulatory Flexibility Act (RFA) (5 U.S.C. 601

through 612) unless the Secretary certifies that a final rule will not

have a significant economic impact on a substantial number of small

entities.

In addition, section 1102(b) of the Act requires the Secretary to

prepare a regulatory impact analysis if a rule may have a significant

impact on the operations of a substantial number of small rural

hospitals. This analysis must conform to the provisions of section 604

of the RFA. For purposes of section 1102(b) of the Act, we define a

small rural hospital as a hospital that is located outside of a

Metropolitan Statistical Area and has fewer than 50 beds.

As noted above, this regulation is technical in nature and merely

updates the display of currently valid control numbers assigned by the

Office of Management and Budget to collections of information contained

in HCFA regulations. Therefore, we have determined, and the Secretary

certifies, that this final rule will not result in a significant

economic impact on a substantial number of small entities and will not

have a significant economic impact on the operations of a substantial

number of small rural hospitals. Accordingly, we are not preparing

analyses for either the RFA or section 1102(b) of the Act.

IV. Waiver of Proposed Rulemaking and Delay in Effective Date

We ordinarily publish a general notice of proposed rulemaking in

the Federal Register, and invite prior public comment on the proposed

rule. The proposed rule includes a reference to the legal authority

under which the rule is proposed, and the terms of substance of the

proposed rule or a description of the subjects and issues involved. In

addition, section 1871 of the Social Security Act (the Act) generally

requires a 60-day public comment period. However, this procedure can be

waived when an agency finds good cause that a notice-and-comment

procedure is impracticable, unnecessary, or contrary to the public

interest, and incorporates a statement of the finding and its reasons

in the rule issued.

We routinely publish a notice in the Federal Register when an

information collection requirement clearance request that is identified

in a rule or notice is submitted to OMB and the public is offered an

opportunity to comment. This regulation is technical in nature and

merely updates the display of OMB-assigned control numbers of approved

collection of information requirements contained in HCFA regulations

text. Therefore, it would be redundant and provide an unnecessary delay

to solicit comments on this display of the approved OMB control

numbers.

For the above reasons, we find good cause to waive both proposed

notice and comment rulemaking procedure and a delay in the effective

date as impracticable, unnecessary, and contrary to the public

interest. Under these circumstances publication of the correct up-to-

date rules without further delay best serves those governed by these

regulations.

List of Subjects in 42 CFR Part 400

Grant program--health, Health facilities, Health maintenance

organizations (HMO), Medicaid, Medicare, Reporting and recordkeeping

requirements.

42 CFR, Part 400 is amended as set forth below.

PART 400--INTRODUCTION; DEFINITIONS

1. The authority citation for part 400 continues to read as

follows:

Authority: Sections 1102 and 1871 of the Social Security Act (42

U.S.C. 1302 and 1395hh) and 44 U.S.C. Chapter 35.

2. Section 400.310 is revised to read as follows:

Sec. 400.310 Display of currently valid OMB control numbers.

------------------------------------------------------------------------

Current OMB

Sections in 42 CFR that contain collections of information control

numbers

------------------------------------------------------------------------

405.481.................................................... 0938-0285

405.512.................................................... 0938-0008

405.552.................................................... 0938-0285

405.1716, 405.1717, 405.1720, 405.1721, 405.1722, 405.1724,

405.1725, 405.1726, 405.1733, 405.1736, 405.1737,

405.2112, 405.2123, 405.2134, 405.2136, 405.2137,

405.2138, 405.2139, 405.2140, 405.2171.................... 0938-0386

410.105.................................................... 0938-0267

411.25, 411.32............................................. 0938-0564

411.54..................................................... 0938-0558

411.65..................................................... 0938-0564

411.404, 411.406........................................... 0938-0465

411.408.................................................... 0938-0566

412.230, 412.232, 412.234, 412.236, 412.254, 412.260,

412.266, 412.278.......................................... 0938-0573

416.47..................................................... 0938-0266

417.107.................................................... 0938-0472

417.436.................................................... 0938-0610

418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74..... 0938-0302

418.83..................................................... 0938-0475

418.96, 418.100............................................ 0938-0302

421.117.................................................... 0938-0542

424.3...................................................... 0938-0008

424.5, 424.7, 424.20....................................... 0938-0454

424.22..................................................... 0938-0489

424.32, 424.34............................................. 0938-0008

431.17..................................................... 0938-0467

431.50, 431.52, 431.55..................................... 0938-0247

431.107.................................................... 0938-0610

431.306.................................................... 0938-0467

431.625, 431.800........................................... 0938-0247

432.50..................................................... 0938-0459

433.36, 433.37............................................. 0938-0247

433.68, 433.74............................................. 0938-0618

433.135.................................................... 0938-0247

433.139.................................................... 0938-0459,

0938-0554,

and

0938-0555

434.27..................................................... 0938-0572

434.28..................................................... 0938-0610

435.1, 435.910, 435.919, 435.920, 435.940, 435.945,

435.948, 435.952, 435.953, 435.955, 435.960, 435.965,

435.1003.................................................. 0938-0247

441.11, 441.15, 441.20..................................... 0938-0247

441.56, 441.58, 441.60, 441.61............................. 0938-0354

441.303.................................................... 0938-0272

441.351, 441.352, 441.353, 441.356, 441.365................ 0938-0613

442.505.................................................... 0938-0366

447.31..................................................... 0938-0287

447.45, 447.50, 447.51, 447.52............................. 0938-0247

447.53..................................................... 0938-0429

447.55..................................................... 0938-0247

447.253.................................................... 0938-0523

and

0938-0556

447.255.................................................... 0938-0193

447.272, 447.299........................................... 0938-0618

447.302, 447.331, 447.332, 447.333......................... 0938-0247

456.80..................................................... 0938-0247

462.102, 462.103........................................... 0938-0526

473.18, 473.34, 473.36, 473.42............................. 0938-0443

476.104, 476.105, 476.116, 476.134......................... 0938-0426

482.12, 482.22, 482.27, 482.30, 482.41, 482.53, 482.56,

482.57, 482.60, 482.62.................................... 0938-0328

483.10..................................................... 0938-0610

483.410, 483.420, 483.440, 483.460, 483.470................ 0938-0366

484.1, 484.2............................................... 0938-0365

484.10..................................................... 0938-0365

and

0938-0610

484.12, 484.14, 484.16-484.34, 484.36, 484.48, 484.52...... 0938-0365

489.20..................................................... 0938-0564

491.9, 491.10.............................................. 0938-0334

493.35-493.63.............................................. 0938-0612

493.614, 493.633, 494.634.................................. 0938-0607

493.801-493.1285........................................... 0938-0612

493.1425................................................... 0938-0612

493.1701-493.1721.......................................... 0938-0612

493.1775-493.1780.......................................... 0938-0612

493.2001................................................... 0938-0612

494.52, 494.54, 494.56, 494.58, 494.64..................... 0938-0608

------------------------------------------------------------------------

(Catalog of Federal Domestic Assistance Program No. 93.773,

Medicare--Hospital Insurance; and Program No. 93.774, Medicare--

Supplementary Medical Insurance Program)

Dated: June 7, 1994.

Bruce C. Vladeck,

Administrator, Health Care Financing Administration.

Approved: July 25, 1994.

Donna E. Shalala,

Secretary.

[FR Doc. 94-18773 Filed 8-1-94; 8:45 am]

BILLING CODE 4120-01-P