Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

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###### Department of Health and Human Services

###### Health Care Financing Administration 

          - [Document Identifier: HCFA-10004] 

# 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:*                         New;                         *Title of Information Collection:*                         Restraints/Seclusion Death Reporting for Hospitals;                         *Form No.:*                         HCFA-10004 (OMB# 0938-XXXX);                         *Use:*                         This collection requires hospitals to report deaths of patients while in restraints or seclusion;                         *Frequency:*                         On occasion;                         *Affected Public:*                         Businesses and other for-profit, Not-for-profit institutions;                         *Number of Respondents:*                         6,072;                         *Total Annual Responses:**Total Annual Hours:*                         3.                     

                        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 on or before January 22, 2001 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: November 9, 2000.

John P. Burke, III,

Reports Clearance Officer, Security and Standards Group, Division of HCFA Enterprise Standards.

[FR Doc. 00-29784 Filed 11-20-00; 8:45 am] 

BILLING CODE 4120-03-P