[Federal Register Volume 62, Number 54 (Thursday, March 20, 1997)]
[Notices]
[Page 13389]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-7085]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA 1728 and HCFA 9049]


Agency Information Collection Activities: Proposed Collection; 
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, is 
publishing the following summary of proposed collections for public 
comment. 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: Revision of a currently 
approved collection; Title of Information Collection: Home Health 
Agency Cost Report; Form No.: HCFA-1728; Use: The HCFA 1728 is the form 
used by Home Health Agencies to report their health care costs to 
determine the amount reimbursable for services furnished to Medicare 
beneficiaries. Frequency: Annually; Affected Public: Business or other 
for profit, Not for profit institutions, and State, Local or Tribal 
Gov.; Number of Respondents: 8,950; Total Annual Hours: 1,575,200.
    2. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Information on Provider 
Refunds--HCFA 9049, 42 CFR 489.40-41; Form No.: HCFA-9049; Use: When a 
Medicare claim is denied and then paid as a result of a 
reconsideration, there is a possibility that the provider has already 
been paid by the beneficiary. These questions on provider refunds will 
be used on intermediary forms to verify that the provider has refunded 
the beneficiary's money. Frequency: On occasion; Affected Public: 
Business or other for profit; Number of Respondents: 4,236; Total 
Annual Hours: 1,059.
    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 P<a href="/cdn-cgi/l/email-protection#d9b8a9bcabaeb6abb299b1babfb8f7beb6af"><span class="__cf_email__" data-cfemail="a5c4d5c0d7d2cad7cee5cdc6c3c48bc2cad3">[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 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 13, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources.
[FR Doc. 97-7085 Filed 3-19-97; 8:45 am]
BILLING CODE 4120-03-P


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