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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[HCFA-9042, R-197]

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

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, has

submitted to the Office of Management and Budget (OMB) the following

proposal for the collection of information. Interested persons are

invited to send comments regarding the 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.

1. Type of Information Collection Request: Reinstatement, without

change, of a previously approved collection for which approval has

expired; Title of Information Collection: Request for Accelerated

Payments; Form No.: HCFA-9042; Use: These forms are used by fiscal

intermediaries to access a provider's eligibility for accelerated

payments. Such payment is granted if there is an unusual delay in

processing bills. Frequency: On occasion; Affected Public: Business or

other for-profit, and Not for-profit institutions; Number of

Respondents: 854; Total Annual Responses: 854; Total Annual Hours

Requested: 427.

2. Type of Information Collection Request: New collection; Title of

Information Collection: Maximizing the Effective Use of Telemedicine: A

Study of the Effect, Cost Effectiveness, and Utilization Patterns of

Consultations via Telemedicine; Form No.: HCFA-R-197; Use: The major

objective of this study is to evaluate the medical and cost

effectiveness of three different categories of telemedicine services.

Frequency: Other (periodically); Affected Public: Individuals and

households, Business or other for profit, and Not for profit

institutions; Number of Respondents: 1,819; Total Annual Responses:

11,095; Total Annual Hours Requested: 1,564.

To obtain copies of the supporting statement for the proposed

paperwork collections referenced above, access HCFA's WEB SITE ADDRESS

at http://www.hcfa.gov , or to obtain the supporting statement and any

related forms, E-mail your request, including your address and phone

number, to P[email protected], 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 HCFA Paperwork Clearance Officer designated at the

following address: OMB Human Resources and Housing Branch, Attention:

Allison Eydt, New Executive Office Building, Room 10235, Washington,

D.C. 20503.

Dated: September 10, 1996.

Edwin J. Glatzel,

Director, Management Analysis and Planning Staff, Office of Financial

and Human Resources, Health Care Financing Administration.

[FR Doc. 96-24214 Filed 9-20-96; 8:45 am]

BILLING CODE 4120-03-P