Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-194]

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

[[Page 24667]]

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: Extension of a currently

approved collection;

Title of Information Collection: Medicare Disproportionate Share

Adjustment Procedure and Criteria and Supporting Regulations in 42 CFR,

Section 412.106;

Form No.: HCFA R-194;

Use: Regulation sets up an alternative process for hospitals that

choose to have their disproportionate share adjustment statistics

calculated based on their cost reporting periods rather than the

Federal fiscal year.

Frequency: On occasion;

Affected Public: Business or other for-profit, and Not-for-profit

institutions;

Number of Respondents: 100;

Total Annual Responses: 100;

Total Annual Hours Requested: 100.

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, Security and Standards Group, Division of HCFA

Enterprise Standards, Attention: Dawn Willinghan, Room N2-14-26, 7500

Security Boulevard, Baltimore, Maryland 21244-1850.

Dated: April 28, 1999.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA Office of Information Services,

Security and Standards Group, Division of HCFA Enterprise Standards.

[FR Doc. 99-11461 Filed 5-6-99; 8:45 am]

BILLING CODE 4120-03-P