Federal Register / Vol. 65, No. 234 / Tuesday, December 5, 2000 / Notices 75943

TABLE 1.—ESTIMATED ANNUAL REPORTING BURDEN 1

Form No. of

Respondents

Annual

Frequency per

Response

Total Annual

Responses

Hours per

Response Total Hours

FDA 3397 208 14.4 2,921 .30 876

1There are no capital costs or operating and maintenance costs associated with this collection of information.

Dated: November 28, 2000.

Margaret M. Dotzel,

Associate Commissioner for Policy.

[FR Doc. 00–30829 Filed 12–4–00; 8:45 am]

BILLING CODE 4160–01–F

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–1491, HCFA–

382, and HCFA–R–207]

Agency Information Collection

Activities: Submission For OMB

Review; Comment Request

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, has submitted to the

Office of Management and Budget

(OMB) the following proposal for the

collection of information. Interested

persons are invited to send comments

regarding the 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: Extension of a currently

approved collection;

Title of Information Collection:

Request for Medicare Payment—

Ambulance and Supporting Regulations

in 42 CFR Section 410.40 and 424.124;

Form No.: HCFA–1491 (OMB# 0938–

0042);

Use: This form is used by physicians,

suppliers, and beneficiaries to request

payment of Part B Medicare services. It

is used to apply for reimbursement for

ambulance services.

Frequency: On occasion;

Affected Public: Business or other forprofit, Individuals or households, and

Not-for-profit Institutions;

Number of Respondents: 9,301,183;

Total Annual Responses: 9,301,183;

Total Annual Hours: 390,418.

(2.)Type of Information Collection

Request: Extension of a currently

approved collection;

Title of Information Collection: ESRD

Beneficiary Selection and Supporting

Regulations Contained in 42 CFR

414.330;

Form No.: HCFA–382 (OMB# 0938–

0372);

Use: ESRD facilities have each new

home dialysis patient select one of two

methods to handle Medicare

reimbursement. The intermediaries pay

for the beneficiaries selecting Method I

and the carriers pay for the beneficiaries

selecting Method II. This system was

developed to avoid duplicate billing by

both intermediaries and carriers.

Frequency: Other (One time only);

Affected Public: Individuals or

households, business or other for-profit,

and not-for-profit institutions;

Number of Respondents: 8,600;

Total Annual Responses: 8,600;

Total Annual Hours: 717.

(3.) Type of Information Collection

Request: Revision of a currently

approved collection;

Title of Information Collection:

Evaluation of the State Medicaid Reform

Demonstrations and Evaluation of the

Medicaid Health Reform

Demonstrations;

Form No.: HCFA–R–207 (OMB#

0938–0708);

Use: These evaluations investigate

health care reform in ten states that have

implemented demonstration programs

using Section 1115 waivers. The surveys

gather information to answer questions

regarding access to health care, quality

of care delivered, satisfaction with

health services, and the use and cost of

health services. During the extended

period of authorization, the surveys will

be administered to Medicaid eligibles,

both demonstration participants and

comparison group non-participants.;

Frequency: Other: One-time;

Affected Public: Individuals or

Households;

Number of Respondents: 5,050;

Total Annual Responses: 5,050;

Total Annual Hours: 2,746.

To obtain copies of the supporting

statement for the proposed paperwork

collections referenced above, access

HCFA’s Web Site Address at http://

www.hcfa.gov/regs/prdact95.htm, or Email 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 30 days of this notice directly to

the OMB Desk Officer designated at the

following address: OMB Human

Resources and Housing Branch,

Attention: Allison Eydt, New Executive

Office Building, Room 10235,

Washington, D.C. 20503.

Dated: November 20, 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. 00–30840 Filed 12–4–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[HCFA–1162–N]

Medicare Program; Establishment of

the Advisory Panel on Ambulatory

Payment Classification Groups and

Request for Nominations for Members

AGENCY: Health Care Financing

Administration (HCFA), HHS.

ACTION: Notice.

SUMMARY: This notice announces the

establishment of the Advisory Panel on

Ambulatory Payment Classification

(APC) Groups and solicits nominations

for members of the panel. The purpose

of the panel is to review the APC groups

and their associated weights and advise

the Secretary and the Administrator of

the Health Care Financing

Administration (HCFA) concerning the

clinical integrity of these groups and

weights, which are major elements of

the hospital outpatient prospective

payment system (OPPS). This notice

also announces that on November 21,

2000 the Secretary signed the charter

establishing the panel. The charter will