[Federal Register Volume 65, Number 208 (Thursday, October 26, 2000)]
[Notices]
[Page 64227]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-27525]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-1728-94, HCFA-2540-96, HCFA-2552-96]


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.
    1. 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; Number of Respondents: 7,310; Total Annual 
Responses: 7,310; Total Annual Hours: 1,293,870.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Skilled Nursing 
Facility Cost Report and Supporting Regulations in 42 CFR 413.20 and 
413.24; Form No.: HCFA-2540 (OMB 0938-0463); Use: Form HCFA-2540-96 is 
the form used by skilled nursing facilities 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; Number of 
Respondents: 15,700; Total Annual Responses: 15,700; Total Annual 
Hours: 2,685,354.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Hospital Cost 
Report and Supporting Regulations in 42 CFR 413.20 and 413.24; Form 
No.: HCFA-2552-96 (OMB 0938-0050); Use: Form HCFA-2552-96 is the form 
used by hospitals 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; Number of Respondents: 6,057; Total Annual 
Responses: 6,057; Total Annual Hours: 3,981,669.
    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#f3a392839681849c8198b39b909592dd949c85"><span class="__cf_email__" data-cfemail="c595a4b5a0b7b2aab7ae85ada6a3a4eba2aab3">[email protected]</span></a>, or call the Reports 
Clearance Office on (410) 786-1326. Because of the volume of paper in 
the cost reporting chapters, please specify whether you want just the 
portions we are proposing to revise or the entire chapter for the 
specific HCFA form number.
    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: October 13, 2000.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
HCFA Enterprise Standards.
[FR Doc. 00-27525 Filed 10-25-00; 8:45 am]
BILLING CODE 4120-03-P


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