Federal Register / Vol. 65, No. 108 / Monday, June 5, 2000 / Notices 35653

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: Revision of a currently

approved collection; Title of

Information Collection: Home Health

Agency Cost Report and Supporting

Regulations in 42 CFR 413.20, 413.24,

and 413.106; Form No.: HCFA–1728–94

(OMB 0938–0022); Use: Form HCFA–

1728–94 is the form used by HHAs

participating in the Medicare program.

This form reports the health care costs

used to determine the amount of

reimbursable costs for services rendered

to Medicare beneficiaries; Frequency:

Annually; Affected Public: Businesses

or other for-profit; Not-for-profit

institutions institutions; Number of

Respondents: 8,950; Total Annual

Responses: 8,950; Total Annual Hours:

1,599,700.

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

Paperwork@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 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: Julie Brown, Room N2–14–

26, 7500 Security Boulevard, Baltimore,

Maryland 21244–1850.

Dated: May 25, 2000.

John P. Burke III,

Reports Clearance Officer, Security and

Standards Group, Division of HCFA

Enterprise Standards.

[FR Doc. 00–13985 Filed 6–2–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–3070]

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.

Type of Information Collection

Request: Reinstatement, with change, of

a previously approved collection for

which approval has expired; Title of

Information Collection: Intermediate

Care Facility for the Mentally Retarded

or Persons with Related Conditions ICF/

MR Survey Report Form (3070G–I) and

Supporting Regulations at 42 CFR

431.52, 431.151, 435.1009, 440.150,

440.220, 442.1, 442.10–442.16, 442 .30,

442.40, 442.42, 442.100–442.119,

483.400–483.480, 488.332, 488.400, and

498.3–498.5; Form No.: HCFA–3070

(0938–0062); Use: The survey forms are

needed to ensure provider compliance.

In order to participate in the Medicaid

program as an ICF/MR, a providers must

meet Federal standards. The survey

report form is used to record providers’

level of compliance with the individual

standard and report it to the Federal

government; Frequency: Annually;

Affected Public: Business or other forprofit, Not-for-profit institutions;

Number of Respondents: 6,763; Total

Annual Responses: 6,763; Total Annual

Hours: 21,600.

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

Paperwork@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 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: Julie Brown, Room N2–14–

26, 7500 Security Boulevard, Baltimore,

Maryland 21244–1850.

Dated: May 25, 2000.

John P. Burke III,

Reports Clearance Officer, Security and

Standards Group, Division of HCFA

Enterprise Standards.

[FR Doc. 00–13986 Filed 6–2–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–R–0211]

Agency Information Collection

Activities: Submission for OMB

Review; 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

35654 Federal Register / Vol. 65, No. 108 / Monday, June 5, 2000 / Notices

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: Model

Application Template for State Child

Health Plan Under Title XXI of the

Social Security Act, State Children’s

Health Insurance Program, and Model

Application Template and Instructions;

Form No.: HCFA–R–211 (OMB #0938–

0707); Use: States are required to submit

Title XXI plans and amendments for

approval by the Secretary pursuant to

section 2102 of the Social Security Act

in order to receive funds for initiating

and expanding health insurance

coverage for uninsured children. The

model application Template is used to

assist States in submitting a State Child

Health Plan and amendments to that

plan; Affected Public: State, Local or

Tribal Government; Number of

Respondents: 37; Total Annual

Responses: 37; Total Annual Hours:

2,960.

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

Paperwork@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 25, 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. 00–13983 Filed 6–2–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–1514]

Agency Information Collection

Activities: Submission for OMB

Review; 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.

Type of Information Collection

Request: Revision of a currently

approved collection; Title of

Information Collection: Hospital

Request for Certification in the

Medicare/Medicaid Program; Form No.:

HCFA–1514 (OMB #0938–0380); Use:

Section 1861 of the Social Security Act

requires hospitals and critical access

hospitals to be certified to participate in

the Medicare/Medicaid program. These

providers must complete the ‘‘Hospital

Request for Certification in the

Medicare/Medicaid Program’’ form in

order to be certified or recertified;

Frequency: Annually; Affected Public:

Business or other for-profit, Not-forprofit institutions; Number of

Respondents: 6,300; Total Annual

Responses: 2,000; Total Annual Hours:

500.

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

Paperwork@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 25, 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. 00–13984 Filed 6–2–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[HCFA–1137–N]

Medicare Program; Announcement of a

Series of National and Regional

Training Sessions To Provide Training

to Medicare+Choice Organizations and

Others Concerning Data

Requirements, and the Timely and

Accurate Submission of Physician and

Hospital Outpatient Encounter Data To

Support a Comprehensive Risk

Adjustment Model.

AGENCY: Health Care Financing

Administration (HCFA), HHS.

ACTION: Notice of meetings.

SUMMARY: This notice announces a

series of national and regional training

sessions to provide Medicare+Choice

organizations, providers, practitioners,

and others with appropriate technical

training to enable them to submit timely

and accurate physician and hospital

outpatient encounter data. The national

training sessions will address the

following topics:

• Data requirements and edits for

physician encounter data.

• Data requirements and edits for

hospital outpatient encounter data.

Overview of Comprehensive Risk

Adjustment models and timeline.

Review of workflow associated with

encounter data transactions.

Communications and connectivity to

the Palmetto Data Network and the

Encounter Data Front-End Edits system.

• Tracking status and disposition of

encounter data submissions.

• Review of training events and

customer support services. The regional

meetings will deal with the specific

requirements for submission of

physician encounter data and hospital

outpatient encounter data.