Federal Register / Vol. 62, No. 73 / Wednesday, April 16, 1997 / Notices 18639

required by statute and regulation for

participation in the Medicare program.

The information is used to determine

final payment for Medicare. Hospitals

and related complexes are the main

users. Frequency: Annually; Affected

Public: Business or other for-profit, Notfor profit institutions, and State, Local

or Tribal government; Number of

Respondents: 7,000; Total Annual

Responses: 7,000; Total Annual Hours

Requested: 4,599,000.

2. Type of Information Collection

Request: Reinstatement, without change,

of a previously approved collection for

which approval has expired; Title of

Information Collection: Information

Collection Requirements in HCFA Pub

14–3 Section 2120.1–2125 and Section

4115 of the Carriers Manual (HCFA–R–

88); Use: Verification of ambulance

compliance with State and Local

requirements is necessary to determine

whether the ambulance qualifies for

reimbursement under Medicare. Carriers

require ambulances providing service to

Medicare beneficiaries to submit

documentation showing that they have

the required equipment. Frequency: On

occasion; Affected Public: Business or

other for-profit; Number of

Respondents: 100; Total Annual Hours:

25.

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: April 7, 1997.

Edwin J. Glatzel,

Director, Management Analysis and Planning

Staff, Office of Financial and Human

Resources.

[FR Doc. 97–9721 Filed 4–15–97; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[HCFA–1514]

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.

Type of Information Collection

Request: Extension of currently

approved collection; Title of

Information Collection: Hospital

Request for Certification in the

Medicare/Medicaid Programs; Form

No.: HCFA–1514; Use: Section 1861 of

the Social Security Act and 42 CFR part

482 requires hospitals to be certified to

participate in the Medicare/Medicaid

programs. As part of the certification

process, providers must complete form

HCFA–1514. This certification form is a

facility identification and screening

form used to initiate the certification

process and to determine if the provider

has sufficient personnel to participate in

the Medicare/Medicaid programs.

Frequency: Annually; Affected Public:

State, Local or Tribal Government;

Number of Respondents: 2,500; Total

Annual Responses: 2,500; Total Annual

Hours: 625.

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 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 30 days of this notice directly to

the HCFA Paperwork Clearance Officer

designated at the following address:

OMB Human Resources and Housing Branch,

Attention: Allison Eydt, New Executive

Office Building, Room 10235,

Washington, DC. 20503

Dated: April 8, 1997.

Edwin J. Glatzel,

Director, Management Analysis and Planning

Staff, Office of Financial and Human

Resources, Health Care Financing

Administration.

[FR Doc. 97–9708 Filed 4–15–97; 8:45 am]

BILLING CODE 4120–03–M

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Resources and Services

Administration

Availability of Funds for the National

Health Service Corps Loan Repayment

Program

AGENCY: Health Resources and Services

Administration, PHS, HHS.

ACTION: Extension of deadline date.

SUMMARY: The Health Resources and

Services Administration (HRSA)

published a document in the Federal

Register of March 28, 1997, concerning

availability of funds for the National

Health Service Corps (NHSC) Loan

Repayment Program (LRP). The

deadline date needs to be extended.

In the Federal Register issue of

Friday, March 28, 1997, in FR Doc. 97–

7838, on page 14925, in the second

column, correct the ‘‘Dates’’ caption to

read:

DATES: The deadline for applications is

August 31, 1997, or until all

appropriated funds have been obligated,

whichever occurs first. Due to limited

funding, it is anticipated that all

appropriated funds will be obligated

prior to August 31, 1997. The volume of

applications is historically three times

greater than the number of contracts that

can be awarded. Therefore, to receive

consideration for funding, health

professionals must submit an

application and proof of a job offer at an

approved NHSC LRP Service Site.

Dated: April 9, 1997.

Claude Earl Fox,

Acting Administrator.

[FR Doc. 97–9725 Filed 4–15–97; 8:45 am]

BILLING CODE 4160–15–P