Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-2088, HCFA-2540, and HCFA-2552]

Agency Information Collection Activities: Proposed Collection;

Comment Request

AGENCY: Health Care Financing Administration.

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: 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

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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.

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

approved collection; Title of Information Collection: Hospital and

Hospital Health Care Complex Cost Report, 42 CFR 413.20 and 413.24;

Form No.: HCFA-2552-96 (OMB No. 0938-0050); Use: This form is required

by statute and regulation for participation in the Medicare program. It

is used to determine final payment for Medicare. Hospitals and related

complexes are the main users. 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: 4,599,000.

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 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 2, 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. 98-9456 Filed 4-9-98; 8:45 am]

BILLING CODE 4120-03-P