# Agency Information Collection Activities: Proposed Collection; Comment Request

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URL: https://www.frixlaw.com/law-library/documents/fr%3A97-33064

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** December 18, 1997
- **Citation:** 62 FR 66375

## Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-265]

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.
Type of Information Collection Request: Reinstatement without
change of a previously approved collection for which approval has
expired; Title of Information Collection: Independent Renal Dialysis
Facility Cost Report Form and Supporting Regulations 42 CFR 413.198,
413.20; Form No.: HCFA-265; Use: The Medicare Independent Renal
Dialysis Facility Cost Report provides for determinations and
allocation of costs to the components of the Renal Dialysis facility in
order to establish a proper basis for Medicare payment. Frequency:
Annually; Affected Public: Business or other for profit; Number of
Respondents: 2,472; Total Annual Responses: 2,472; Total Annual Hours:
484,512.
2. Type of Information Collection Request: New Collection; Title of
Information Collection: Evaluation of the Oregon Medicaid Reform
Demonstration: Phase II Adult Interview, Phase II Child Interview,
Survey of Agency Providers; Form No.: HCFA-R-221; Use: These survey
instruments will be used to evaluate the Oregon Medicaid Reform
Demonstration. The Phase II Adult and Phase II Child interviews are
designed to collect information on health status, access to care and
past health insurance status for adults and children participating in
Phase II of the Oregon Health Plan (OHP). The survey of Agency
providers is designed to collect information on the experience under
OHP of agencies that traditionally treat disabled and elderly Medicaid
beneficiaries. Frequency: One Time; Affected Public: Individuals or
Households, Business or other for-profit, Not-for-profit institutions,
and State, Local or Tribal Governments; Number of Respondents: 4,150;
Total Annual Responses: 4,150; Total Annual Hours: 1,730.
3. Type of Information Collection Request: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Health Maintenance
Organizations & Competitive Medical Plans National Data Reporting
Requirements and Supporting Regulations 42 CFR 417.100, .940, .126,
.478, .162; Form No.: HCFA-906; Use: This form captures information
which governs qualification of new Health Maintenance Organizations
(HMOs) and the eligibility of Competitive Medical Plans (CMPs),
employer compliance, recovery of Federal loan and loan guarantees,
financial disclosure, and continuing regulation of qualified HMOs and
CMPs which provide health care services to beneficiaries for a fixed
fee which is paid on a periodic basis. Frequency: Other; Annually,
Quarterly; Affected Public: Federal Government, Business or other for-
profit, Not-for-profit institutions, State, local or Tribal Government;
Number of Respondents: 313; Total Annual Responses: 953; Total Annual
Hours: 3,130.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, or 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: December 11, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards,
Health Care Financing Administration.
[FR Doc. 97-33064 Filed 12-17-97; 8:45 am]
BILLING CODE 4120-03-P

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A97-33064. Public record. Not legal advice.