Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-437]

Agency Information Collection Activities: Proposed Collection;

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, is

publishing the following summary of proposed collections for public

comment. 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: Extension of a currently

approved collection; Title of Information Collection: Psychiatric Unit

Criteria Work Sheet, Rehabilitation Unit Criteria Work Sheet,

Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations

42 CFR 412.20-412.32; Form No.: HCFA-437; Use: Rehabilitation hospitals

and Psychiatric hospital units that are excluded from the Medicare

Prospective Payment System (PPS) must complete the criteria work sheets

to verify and reverify that they comply and remain in compliance with

the exclusion criteria for the Medicare prospective payment system.

These forms capture information that will allow Medicare to reimburse

these facilities on the basis of nationally-determined average

standardized amounts, i.e., a prospective payment type system.

Frequency: Annually; Affected Public: Business or other for-profit,

Not-for-profit institutions and State, Local or Tribal Government;

Number of Respondents: 2,555; Total Annual Responses: 2,555; Total

Annual Hours: 639.

2.Type of Information Collection Request: Revision of a currently

approved collection; Title of Information Collection: Reconciliation of

State Invoice and Prior Quarter Adjustment Statement; Form No.: HCFA-

304A; Use: In response to a need for improved data exchange between

drug labelers and States, HCFA, in conjunction with outside

consultants, developed the Reconciliation of State Invoice (ROSI), form

HCFA-304, and the Prior Quarter Adjustment Statement (PQAS), form HCFA-

304A. The ROSI is to be used by drug labelers when responding to State

invoices of current quarter utilization data only, and functions as a

reconciliation report to assure accurate drug rebate payments. The PQAS

is used by drug labelers to report only on prior quarter actions/

payments. Prior quarter activity includes changes to utilization data

submitted by States, revisions to previously disputed units, and prior

period adjustments (URA changes). Both forms assist in reducing

disputes by standardizing data exchange and improving communication

between drug labelers and States. Frequency: Quarterly; Affected

Public: Business or other for-profit; Number of Respondents: 365; Total

Annual Responses: 1,460; Total Annual Hours: 132,120.

To obtain copies of the supporting statement for the proposed

paperwork collections referenced above, 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 60 days of this notice directly to the HCFA Paperwork Clearance

Officer designated at the following address:

HCFA, Office of Information Services, Information Technology

Investment Management Group, Division of HCFA Enterprise Standards,

Attention: John Rudolph, Room C2-26-17, 7500 Security Boulevard,

Baltimore, Maryland 21244-1850.

Dated: August 5, 1997.

John P. Burke III,

HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards,

Health Care Financing Administration.

[FR Doc. 97-21654 Filed 8-14-97; 8:45 am]

BILLING CODE 4120-03-P