[Federal Register Volume 65, Number 194 (Thursday, October 5, 2000)]
[Notices]
[Page 59432]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-25504]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-3427]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Health Care Financing Administration, DHHS.
    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 collection.
    Title of Information Collection: End Stage Renal Disease 
Application and Survey and Certification Report and Supporting 
Regulations in 42 CFR 405.2100-405.2184.
    Form No.: HCFA-3427 (OMB# 0938-0360).
    Use: Part I of this form is a facility identification and screening 
measurement used to initiate the certification and recertification of 
ESRD facilities. Part II is completed by the Medicare/Medicaid State 
survey agency to determine facility compliance with ESRD conditions for 
coverage.
    Frequency: Annually.
    Affected Public: State, local or tribal government.
    Number of Respondents: 3740.
    Total Annual Responses: 675.
    Total Annual Hours: 1626.75.
    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 <a href="/cdn-cgi/l/email-protection#4717263722353028352c072f24212669202831"><span class="__cf_email__" data-cfemail="633302130611140c1108230b0005024d040c15">[email protected]</span></a>, 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: September 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. 00-25504 Filed 10-4-00; 8:45 am]
BILLING CODE 4120-03-P


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