Federal Register / Vol. 62, No. 165 / Tuesday, August 26, 1997 / Notices 45263

c. Embryo (or zygote, or oocyte)

transfer procedures.

2. Frequency of:

a. Multiple gestations.

b. Cancellations.

3. The number of cycles carried out.

4. The average number of embryos

transferred per cycle.

5. The rates in (1), (2a), and (4) will

be categorized for:

a. ART using fresh embryos, those

using cryo-preserved embryos only, and

those using donor oocytes.

b. Age of woman at time of cycle (<35,

35–39 and >39).

6. To aid in the interpretation of rates,

the following information will be

included:

a. Clinic profile—What types of

services the clinic offers (e.g., surrogacy,

single women); the percentage of ART

procedures which are IVF, GIFT, ZIFT;

the percentage of procedures involving

ICSI; the percentage of multiple

pregnancies per transfer and the

percentage of these multiple

pregnancies which underwent selective

reduction; and the percent distribution

of causes of infertility.

b. Consumer-oriented explanation of

all medical and statistical terms used in

the report.

References

1. American Fertility Society. IVF & GIFT. A

Patient’s Guide to Assisted Reproductive

Technology. American Fertility Society.

Birmingham, Alabama, 1989.

2. The Fertility Clinic Success Rate and

Certification Act of 1992 (Public Law

102–493).

3. American Fertility Society/Society for

Reproductive Technology. Instructions

for SART Data Collection System, 1993.

American Fertility Society/Society for

Assisted Reproductive Technology,

Birmingham, Alabama, 1994.

4. American Fertility Society. Infertility: An

Overview. A Guide for Patients.

American Fertility Society, Birmingham,

Alabama, 1994.

5. American Fertility Society. Investigation of

the Infertile Couple. American Fertility

Society, Birmingham, Alabama, 1991.

6. Wilcox LS, Peterson HB, Haseltine FP,

Martin MC. Defining and Interpreting

Pregnancy Success Rates for In Vitro

Fertilization. Fertility and Sterility 1993;

60: 18–25.

7. Jones HW. On Reporting Pregnancies by

Assisted Reproductive Technology.

Fertility and Sterility 1993; 60: 759–761.

8. RESOLVE Assisted Reproductive

Technologies Workbook RESOLVE, Inc.,

Boston, MA, 1994.

[FR Doc. 97–22611 Filed 8–25–97; 8:45 am]

BILLING CODE 4163–18–M

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Administration for Children and

Families

Proposed Information Collection

Activity; Comment Request Proposed

Projects

Title: Temporary Assistance for Needy

Families (TANF) Tribal Plan.

OMB No.: 0970–0157.

Description: This document consists

of an outline of how the Indian tribe’s

TANF program will be administered

and operated. It is used to determine

whether the plan is approvable and that

the Indian tribe is eligible to receive a

TANF grant.

Respondents: Tribal Govt.

ANNUAL BURDEN ESTIMATES

Instrument Number of

respondents

Number of

responses

per respondent

Average

burden

hours per

response

Total burden hours

TANF Tribal Plan .............................................................................................................. 18 1 60 1,080

Estimated Total Annual Burden

Hours: 1,080.

In compliance with the requirements

of Section 3506(c)(2)(A) of the

Paperwork Reduction Act of 1995, the

Administration for Children and

Families is soliciting public comment

on the specific aspects of the

information collection described above.

Copies of the proposed collection of

information can be obtained and

comments may be forwarded by writing

to the Administration for Children and

Families, Office of Information Services,

Division of Information Resource

Management Services, 370 L’Enfant

Promenade, S.W., Washington, D.C.

20447, Attn: ACF Reports Clearance

Officer. All requests should be

identified by the title of the information

collection.

The Department specifically requests

comments on: (a) Whether the proposed

collection of information is necessary

for the proper performance of the

functions of the agency, including

whether the information shall have

practical utility; (b) the accuracy of the

agency’s estimate of the burden of the

proposed collection of information; (c)

the quality, utility, and clarity of the

information to be collected; and (d)

ways to minimize the burden of the

collection of information on

respondents, including through the use

of automated collection techniques or

other forms of information technology.

Consideration will be given to

comments and suggestions submitted

within 60 days of this publication.

Dated: August 20, 1997.

Bob Sargis,

Acting Reports Clearance Officer.

[FR Doc. 97–22619 Filed 8–25–97; 8:45 am]

BILLING CODE 4184–01–M

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[HCFA–484, HCFA–R–200]

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

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;
45264 Federal Register / Vol. 62, No. 165 / Tuesday, August 26, 1997 / Notices

(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: Extension of a currently

approved collection without change;

Title of Information Collection:

Attending Physician’s Certification of

Medical Necessity for Home Oxygen

Therapy and Supporting Regulations 42

CFR 410.38 and 42 CFR 424.5; Form

Number: HCFA–484 (OMB approval #

0938–0534); Use: To determine oxygen

is reasonable and necessary pursuant to

Medicare Statute, Medicare claims for

home oxygen therapy must be

supported by the treating physician’s

statement and other information

including estimate length of need (# of

months), diagnosis codes (ICD–9) and:

1. Results and date of the most recent

arterial blood gas PO2 and/or oxygen

saturation tests.

2. The most recent arterial blood gas

PO2 and/or oxygen saturation test

performed EITHER with the patient in a

chronic stable state as an outpatient, OR

within two days prior to discharge from

an inpatient facility to home.

3. The most recent arterial blood gas

PO2 and/or oxygen saturation test

performed at rest, during exercise, or

during sleep.

4. Name and address of the physician/

provider performing the most recent

arterial blood gas PO2 and/or oxygen

saturation test.

5. If ordering portable oxygen,

information regarding the patient’s

mobility within the home.

6. Identification of the highest oxygen

flow rate (in liters per minute)

prescribed.

7. If the prescribed liters per minute

(LPM), as identified in item 6, are

greater than 4 LPM, provide the results

and date of the most recent arterial

blood gas PO2 and/or oxygen saturation

test taken on 4 LPM.

If the PO2=56–59, or the oxygen

saturation=89%, then evidence of the

beneficiary meeting at least one of the

following criteria must be provided.

8. The patient having dependent

edema due to congestive heart failure.

9. The patient having cor pulmonale

or pulmonary hypertension, as

documented by P pulmonale on an EKG

or by an echocardiogram, gated blood

pool scan or direct pulmonary artery

pressure measurement.

10. The patient having a hematocrit

greater than 56%.

Form HCFA–484 obtains all pertinent

information and promotes national

consistency in coverage determinations;

Frequency: Other (as needed); Affected

Public: Individuals/households,

business or other for profit, and not for

profit institutions; Number of

Respondents: 300,000; Total Annual

Responses: 300,000; Total Annual

Hours Requested: 50,000.

2. Type of Information Request:

Extension of a currently approved

collection without change; Title of

Information Collection: HEDIS 3.0

(Health Plan Data and Information Set),

including the Health of Seniors and

Consumer Assessment of Health Plans

Study (CAHPS) surveys and supporting

regulations 42 CFR 417.470, and 42 CFR

417.126; Form Number: HCFA–R–200

(OMB approval #0938–0701); Use:

HEDIS and CAHPS will be used for 3

purposes: (1) To provide summary

comparative data to the Medicare

beneficiary to assist them in choosing

among health plans; (2) to provide

information to health plans for internal

quality improvement activity; and (3) to

provide HCFA, as purchaser,

information useful for monitoring

quality of and access to care provided

by the plans; Frequency: Annually;

Affected Public: Individuals or

Households, non-profit and for profit

HMOs which contract with HCFA to

provide managed health care to

Medicare beneficiaries; Number of

Respondents: 293,834; Total Annual

Responses: 293,834 Total Annual Hours

Requested: 181,520.

To obtain copies of the supporting

statement and any related forms for the

proposed paperwork collections

referenced above, E-mail your request,

including your address and phone

number, 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,

Information Technology Investment

Management Group, Division of HCFA

Enterprise Standards, Attention: John P.

Burke III, Room C2–26–17, 7500

Security Boulevard, Baltimore,

Maryland 21244–1850.

Dated: August 19, 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. 97–22588 Filed 8–25–97; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

Emergency Clearance: Public

Information Collection Requirements

Submitted to the Office of Management

and Budget (OMB); Correction

In the Health Care Financing

Administration (HCFA) notice

‘‘Emergency Clearance: Public

Information Collection Requirements

Submitted to the Office of Management

and Budget’’, published in the Federal

Register on 8/20/97, 62 FR 44283, third

column, second paragraph, ‘‘it was

stated that ‘‘HCFA will respond as

appropriate to the public comments

received in response to the 10/24/97

Federal Register notice. * * *’’

However, the date referenced in this

phrase was printed in error. The phrase

is being corrected to read ‘‘HCFA will

respond as appropriate to the public

comments received in response to the

10/24/96 Federal Register notice.

* * *’’

Dated: August 21, 1997

John P. Burke III,

HCFA Reports Clearance Officer, Office of

Information Services, Information

Technology Investment Management Group,

Division of HCFA Enterprise Standards,

Health Care Financing Administration.

[FR Doc. 97–22742 Filed 8–25–97; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Substance Abuse and Mental Health

Services Administration

Notice of Meetings

Pursuant to Pub. L. 92–463, notice is

hereby given of meetings of the

SAMHSA Center for Substance Abuse

Treatment (CSAT) National Advisory

Council and the SAMHSA National

Advisory Council to be held in

September 1997. The CSAT National Advisory Council

will have an open portion and include

discussion of the Center’s policy issues

and current administrative, legislative,

and program developments. If anyone

needs special accommodations for

persons with disabilities please notify

the Contact listed below.

The meeting will also include the

review, discussion, and evaluation of

individual grant applications, contract

proposals, and discussion of

information about the Center for

Substance Abuse Treatment’s

procurement plans. Therefore a portion

of the meeting will be closed to the