Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) for Clearance

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

Public Information Collection Requirements Submitted to the

Office of Management and Budget (OMB) for Clearance

AGENCY: Health Care Financing Administration.

The Health Care Financing Administration (HCFA), Department of

Health and Human Services (HHS), has submitted to OMB the following

proposals for the collection of information in compliance with the

Paperwork Reduction Act (Public Law 96-511).

1. Type of Request: Revision; Title of Information Collection:

Monitoring and Evaluation of the Medicare Cataract Surgery Alternate

Payment Demonstration; Form No.: HCFA-R-154; Use: Proposed changes in

the presurgery and postsurgery patient interviews that will be used to

interview Medicare beneficiaries participating in the Medicare Cataract

Surgery Alternate Payment Demonstration. Changes in the research design

necessitate that some questions in the beneficiary surveys be modified

in order to be comparable to an existing data base and that total

annual respondent burden be reduced.; Frequency: On occasion;

Respondents: Individuals or households, businesses or other for profit,

nonprofit institutions; Estimated Number of Responses: 562 (survey),

4,170 (checklist); Average Hours Per Response: .30 (survey), .15

(checklist); Total Estimated Burden Hours: 795.

2. Type of Request: Reinstatement; Title of Information Collection:

Statement of Deficiencies and Plan of Correction; Form No.: HCFA-2567;

Use: This form provides information regarding deficiencies noted during

periodic facility and laboratory certification surveys. Information

from this form is used to make decisions concerning certification and

recertification of health care facilities participating in the

Medicare/Medicaid programs and of laboratories regulated by the

Clinical Laboratory Improvement Amendments (CLIA); Frequency:

Biennially; Respondents: Businesses or other for profit, small

businesses or organizations, State or local governments, Federal

agencies or employees; Estimated Number of Responses: 98,400; Average

Hours Per Response: 2; Total Estimated Burden Hours: 196,800.

3. Type of Request: Reinstatement; Title of Information Collection:

Laboratory Personnel Report (CLIA); Form No.: HCFA-209; Use: This form

is used by the State agency to determine a laboratory's compliance with

personnel qualifications under CLIA. This information is needed for a

laboratory's CLIA certification and recertification; Frequency:

Biennially; Respondents: State or local governments, businesses or

other for profit, Federal agencies or employees, small businesses or

organizations, nonprofit institutions; Estimated Number of Responses:

26,250; Average Hours Per Response: .5; Total Estimated Burden Hours:

13,125.

4. Type of Request: Reinstatement; Title of Information Collection:

Clinical Laboratory Improvement Amendments of 1988 (CLIA), Section 42

CFR, Part 493; Form No.: HCFA-R-26; Use: CLIA requires every

laboratory, with certain exceptions contained in the regulation, that

performs testing on human specimens to meet performance requirements in

order to be certified. This rule, HSQ-176, implements the certificate,

laboratory standards, and inspection requirements of CLIA; Frequency:

On occasion; Respondents: Federal agencies or employees, nonprofit

institutions, State or local governments, individuals or households;

Estimated Number of Responses: 149,700; Average Hours Per Response:

61.488; Total Estimated Burden Hours: 9,204,754.

Additional Information or Comments: Call the Reports Clearance

Office on (410) 966-5536 for copies of the clearance request packages.

Written comments and recommendations for the proposed information

collections should be sent 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 3001, Washington, D.C. 20503.

Dated: November 2, 1994.

Kathleen Larson,

Acting Director, Management Planning and Analysis Staff, Office of

Financial and Human Resources, Health Care Financing Administration.

[FR Doc. 94-27942 Filed 11-10-94; 8:45 am]

BILLING CODE 4120-03-P