Federal Register / Vol. 62, No. 60 / Friday, March 28, 1997 / Notices 14919

determination failed to satisfy the

appellant. Frequency: Annually,

Quarterly and Monthly; Affected Public:

Individual or Households, and Not for

profit institutions; Number of

Respondents: 55,000; Total Annual

Hours: 9,167.

2. Type of Information Collection

Request: Extension of a currently

approved collection; Title of

Information Collection: Request for

Reconsideration of Part A Insurance

Benefits, 42 CFR 405.711; Form No.:

HCFA–2649; Use: Section 1869 of the

Social Security Act authorizes a hearing

for any individual who is dissatisfied

with the intermediary’s Part A

determination or the amount paid. This

form is used by a party to request a

reconsideration of the initial

determination. Frequency: Annually,

Quarterly and Monthly; Affected Public:

Individuals or Households, and Not for

profit institutions; Number of

Respondents: 62,000; Total Annual

Hours: 15,500.

3. Type of Information Collection

Request: Extension of a currently

approved collection; Title of

Information Collection: Request for Part

A Medicare Hearing by an

Administrative Law Judge, 42 CFR

498.40; Form No.: HCFA–5011A–U6;

Use: Section 1869 of the Social Security

Act authorizes a hearing for any

individual who is dissatisfied with the

intermediary’s Part A determination or

the amount paid. This form is used by

the beneficiary or other qualified

appellant to request a hearing by an

Administrative Law Judge if the

reconsideration determination fails to

satisfy the appellant. Frequency:

Annually, Quarterly and Monthly;

Affected Public: Individuals or

Households, and Not for profit

institutions; Number of Respondents:

10,000; Total Annual Hours: 2,500.

4. Type of Information Collection

Request: Extension of a currently

approved collection; Title of

Information Collection: Request for Part

B Medicare Hearing by an

Administrative Law Judge; Form No.:

HCFA–5011B–U6; Use: Section 1869 of

the Social Security Act authorizes a

hearing for any individual who is

dissatisfied with the carrier’s Part B

determination or the amount paid. This

form is used by the beneficiary or other

qualified appellant to request a hearing

by an Administrative Law Judge if the

hearing officer’s decision fails to satisfy

the appellant. Frequency: Annually,

Quarterly and Monthly; Affected Public:

Individuals or Households, and Not for

profit institutions; Number of

Respondents: 10,000; Total Annual

Hours: 2,500.

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 to

obtain the supporting statement and any

related forms, 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 Financial and Human

Resources, Management Analysis and

Planning Staff, Attention: Louis Blank,

Room C2–26–17, 7500 Security

Boulevard, Baltimore, Maryland 21244–

1850.

Dated: March 19, 1997.

Edwin J. Glatzel,

Director, Management Analysis and Planning

Staff, Office of Financial and Human

Resources.

[FR Doc. 97–7892 Filed 3–27–97; 8:45 am]

BILLING CODE 4120–03–P

Health Resources and Services

Administration

Agency Information Collection

Activities: Proposed Collection:

Comment Request

In compliance with the requirement

for opportunity for public comment on

proposed data collection projects

(section 3506(c)(2)(A) of Title 35, United

States Code, as amended by the

Paperwork Reduction Act of 1995,

Public Law 104–13), the Health

Resources and Services Administration

(HRSA) will publish periodic

summaries of proposed projects being

developed for submission to OMB under

the Paperwork Reduction Act of 1995.

To request more information on the

proposed project or to obtain a copy of

the data collection plans, call the HRSA

Reports Clearance Officer on (301) 443–

1129.

Comments are invited 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)

ways to enhance 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.

Proposed Project: AIDS Drug Assistance

Program [ADAP]: Monthly Client

Utilization and Program Expenditure

Assessment Project—NEW

State AIDS Drug Assistance Programs

[ADAP], funded under Title II of the

Ryan White Comprehensive AIDS

Resources Emergency [CARE] Act

Amendments of 1996 [Pub. L. 104–146],

are designed to provide low income,

uninsured, and underinsured

individuals with access to HIV/AIDS

medications that prevent serious

deterioration of health arising from HIV

disease, including prevention and

treatment of opportunistic diseases.

Due to the increasing need for

pharmaceuticals among uninsured and

underinsured low-income individuals

who are HIV+ or diagnosed with AIDS,

and recognizing the importance of

program planning and budget

forecasting to maximize resources, the

Division of HIV Services [DHS], Health

Resources and Services Administration

[HRSA], proposes to collect relevant

client utilization data and program

expenditure information on a voluntary

monthly reporting basis from State

ADAPs. This effort is designed to assist

Title II grantees, State ADAPs, the DHS/

HRSA funding agency staff, and policy

makers at both the federal and State

level to better understand the level of

client need for medications that the

programs are functioning under and the

resources used to meet the needs, and

to provide indicators of where future

action may be required and the most

appropriate response(s).

A report is proposed that will collect

time-specific data for the number of

enrolled clients, the number of clients

served, the level of funding expended,

and the prices of five to seven specified

pharmaceuticals dispensed by each

program. In addition, the report will

provide a forum for tracking the most

current changes in each State ADAP

with respect to available funding,

eligibility criteria, clinical guidelines,

and formulary changes. The individual

State reports will be compiled into

summary reports and distributed back to

grantees and State ADAPs on a monthly

basis, as well as available for use by

HRSA and the Office of Management

and Budget. These results will be used

to guide program planning, to formulate

budget recommendations, and to

monitor the balance between available

resources and State needs. The burden

estimates are as follows:
14920 Federal Register / Vol. 62, No. 60 / Friday, March 28, 1997 / Notices

Type of respondent No. of

respondents

Responses

per

respondent

Hours per

response

Total burden

hours

Title II ADAP Grantees ..................................................................................... 54 12 1 648

Send comments to Patricia Royston,

HRSA Reports Clearance Officer, Room

14–36, Parklawn Building, 5600 Fishers

Lane, Rockville, MD 20857. Written

comments should be received within 60

days of this notice.

Dated: March 17, 1997.

J. Henry Montes,

Director, Officer of Policy and Information

Coordination.

[FR Doc. 97–7842 Filed 3–27–97; 8:45 am]

BILLING CODE 4160–15–P

Agency Information Collection

Activities: Submission for OMB

Review; Comment Request

Periodically, the Health Resources

and Services Administration (HRSA)

publishes abstracts of information

collection requests under review by the

Office of Management and Budget, in

compliance with the Paperwork

Reduction Act of 1995 (44 U.S.C.

Chapter 35). To request a copy of the

clearance requests submitted to OMB for

review, call the HRSA Reports

Clearance Office on (301) 443–1129.

The following request has been

submitted to the Office of Management

and Budget for review under the

Paperwork Reduction Act of 1995:

Loan Information System Records for

the DHHS and DHUD Hospital

Mortgage Insurance, Guarantee, and

Direct Loan Programs (OMB No. 0915–

0174)—Extension, No Change

The Division of Facilities Loans

within the Health Resources and

Services Administration monitors

outstanding direct and guaranteed loans

made under Section 621 of Title VI and

Section 1601 of Title XVI of the Public

Health Service Act, as well as loans

insured under the Section 242 Hospital

Mortgage Insurance Program of the Fair

Housing Act. These programs were

designed to aid construction and

modernization of health care facilities

by increasing the access of facilities to

capital through the assumption of the

mortgage credit risk by the Federal

Government.

Operating statistics and financial

information are collected annually from

hospitals with mortgages that are

insured under these programs. The

information is used to monitor the

financial stability of the hospitals to

protect the Federal investment in these

facilities. The form used for the data

collection is the Hospital Facility Data

Abstract. No changes in the form are

proposed. The estimate of annual

burden hours is as follows:

Form No. of respondents

Responses

per respondents

Hours per responseTotal hour burden

Hospital Facility Data Abstract ............................................................. 250 hospitals ............. 1 1 250

Written comments and

recommendations concerning the

proposed information collection should

be sent within 30 days of this notice to:

Virginia Huth, Human Resources and

Housing Branch, Office of Management

and Budget, New Executive Office

Building, Room 10235, Washington, DC

20503.

Dated: March 11, 1997.

J. Henry Montes,

Director, Office of Policy and Information

Coordination.

[FR Doc. 97–7837 Filed 3–27–97; 8:45 am]

BILLING CODE 4160–15–P

Agency Information Collection

Activities: Submission for OMB

Review; Comment Request

Periodically, the Health Resources

and Services Administration (HRSA)

publishes abstracts of information

collection requests under review by the

Office of Management and Budget, in

compliance with the Paperwork

Reduction Act of 1995 (44 U.S.C.

Chapter 35). To request a copy of the

clearance requests submitted to OMB for

review, call the HRSA Reports

Clearance Office on (301)–443–1129.

The following request has been

submitted to the Office of Management

and Budget for review under the

Paperwork Reduction Act of 1995:

Grants for Hospital Construction and

Modernization—Federal Right of

Recovery and Waiver of Recovery (42

CFR 124, Subpart H) (OMB No. 0915–

0099)—Extension, No Change

The regulation known as ‘‘Federal

Right of Recovery and Waiver of

Recovery’’ provides a means for the

Federal Government to recover grant

funds and a method of calculating

interest when a grant-assisted facility

under Title VI or XVI is sold or leased,

or there is a change in use of the facility.

It also allows for a waiver of the right

of recovery under certain circumstances.

Facilities are required to provide written

notice to the Federal Government when

such a change occurs, and to provide

copies of sales contracts, lease

agreements, estimates of current assets

and liabilities, value of equipment,

expected value of land on the new

owner’s books and remaining

depreciation for all fixed assets involved

in the transactions, and other

information and documents pertinent to

the change of status.

The estimated burden is as follows:

Regulation Number of

respondents ×

Responses

per respondent× Hours per

response × Total burdenhours

124.704(b) and 707 .................................................................... 20 1 3 60