# Agency Information Collection Activities: Proposed Collection; Comment Request

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URL: https://www.frixlaw.com/law-library/documents/fr%3A98-10385

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** April 20, 1998
- **Citation:** 63 FR 19502

## Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-416, HCFA-855, and HCFA-R-227]

Agency Information Collection Activities: Proposed Collection;
Comment Request

AGENCY: Health Care Financing Administration, HHS.

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 this
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: Annual Early and
Periodic Screening, Diagnostic, and Treatment Services (EPSDT)
Participation Report and Supporting Regulations in 42 CFR 441.60; Form
No.: HCFA-416 (OMB# 0938-0354); Use: States are required to submit an
annual report on the provision of EPSDT services to HCFA pursuant to
section 1902(a)(43) of the Social Security Act. These reports provide
HCFA with data necessary to assess the effectiveness of State EPSDT
programs. It is also helpful in developing trend patterns, national
projections, responding to inquiries, and determining a State's results
in achieving its participation goal; Frequency: Annually; Affected
Public: State, Local or Tribal Government; Number of Respondents: 56;
Total Annual Responses: 56; Total Annual Hours: 1,568.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare and
Other Federal Health Care Programs Provider/Supplier Enrollment
Application; Form No.: HCFA-855 (OMB# 0938-0685); Use: This information
is needed to enroll providers and suppliers into the Medicare program
by identifying them, pricing and paying their claims, and verifying
their qualifications and eligibility to participate in Medicare;
Frequency: Initial Enrollment/Recertification; Affected Public:
Business or other for-profit, Individuals or Households, Not-for-profit
institutions, and Federal Government; Number of Respondents: 225,000;
Total Annual Responses: 225,000; Total Annual Hours: 435,000.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Research and
Analytic Support for Implementing Peformance Measurement in Medicare
Fee for Service; Form No.: HCFA-R-227 (OMB# 0938-0718); Use: As
required by the Balanced Budget Act (BBA), Section 1851(d), the Health
Care Financing Administration (HCFA) needs to develop comparable
performance measures for Fee For Service (FFS) Medicare. This project
will enable HCFA to evaluate the effectiveness and outcomes of FFS
services purchased. HCFA may potentially disseminate this information
to Medicare beneficiaries so that they may make informed health care
choices; Frequency: Biennially; Affected Public: Individuals or
Households, Business or other for-profit, Not-for-profit institutions,
Farms, Federal Government, and State, Local or Tribal Government;
Number of Respondents: 6,670; Total Annual Responses: 6,670; Total
Annual Hours: 3,335.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access HCFA's
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail
your

[[Page 19503]]

request, including your address, phone number, OMB number, and HCFA
document identifier, 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: Louis Blank,
Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

Dated: April 10, 1998.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards.
[FR Doc. 98-10385 Filed 4-17-98; 8:45 am]
BILLING CODE 4120-03-P

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A98-10385. Public record. Not legal advice.