65FR37566 Agency Information Collection Activities: Submission for OMB Review; Comment Request
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Posting-number: Volume 65, Issue 116, Page 37566
[Federal Register: June 15, 2000 (Volume 65, Number 116)]
[Notices]
[Page 37566]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15jn00-76]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-643]
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 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.
Type of Information Collection Request: Extension of a currently
approved request; Title of Information Collection: Hospice Survey and
Deficiencies Report Form and Supporting Regulations at 42 CFR 418.1-
418.405; Form No.: HCFA-643 (OMB# 0938-0379); Use: In order to
participate in the Medicare program, a hospice must meet certain
Federal health and safety conditions of participation. This form will
be used by State surveyors to record data about a hospice's compliance
with these conditions of participation in order to initiate the
certification or recertification process; Frequency: Annually; Affected
Public: State, local or tribal government; Number of Respondents:
2,293; Total Annual Responses: 2,293; Total Annual Hours: 5,733.
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 Pape...@hcfa.gov, 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, DC 20503.
Dated: May 30, 2000.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 00-15129 Filed 6-14-00; 8:45 am]
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