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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-2088, and HCFA-2540]

Agency Information Collection Activities: Submission for OMB

Review; 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

[[Page 68291]]

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: Revision of a currently

approved collection; Title of Information Collection: Outpatient

Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20

and 413.24 Form No.: HCFA-2088 (0938-0037); Use: This form is used by

Outpatient Rehabilitation Facilities to report their health care costs

to determine the amount reimbursable for services furnished to Medicare

beneficiaries. In addition, the fiscal intermediary uses the cost

report to make settlement with the provider for the cost reporting

period. Frequency: Annually; Affected Public: Business or other for-

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

Government; Number of Respondents: 4,298; Total Annual Responses:

4,298; Total Annual Hours: 429,800.

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

approved collection; Title of Information Collection: Skilled Nursing

Facility (SNF) and Skilled Nursing Facility Health Care Complex Cost

Report, 42 CFR 413.20 and 413.24; Form No.: HCFA-2540 (0938-0463); Use:

The Skilled Nursing Facility and Skilled Nursing Facility Health Care

Complex Cost Report is used by freestanding SNFs to submit annual

information to achieve a settlement of costs for health care services

rendered to Medicare beneficiaries. In addition, the fiscal

intermediary uses the cost report to make settlement with the provider

for the fiscal year. Frequency: Annually; Affected Public: Business or

other for profit, Not for profit institutions, and State, Local, or

Tribal government; Number of Respondents: 7,000; Total Annual

Responses: 7,000; Total Annual Hours Requested: 1,372,000.

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 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 30 days of this notice directly to the OMB desk officer: OMB

Human Resources and Housing Branch, Attention: Allison Eydt, New

Executive Office Building, Room 10235, Washington, D.C. 20503.

Dated: December 3, 1998.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA Office of Information Services,

Security and Standards Group, Division of HCFA Enterprise Standards.

[FR Doc. 98-32852 Filed 12-9-98; 8:45 am]

BILLING CODE 4120-03-P