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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-304A]

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

[[Page 1115]]

techniques or other forms of information technology to minimize the

information collection burden.

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 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 rebate payments. The PQAS

is used by 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 30 days of this notice directly to the OMB Desk 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: November 24, 1997.

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. 98-382 Filed 1-7-98; 8:45 am]

BILLING CODE 4120-03-M