Federal Register / Vol. 63, No. 88 /Thursday, May 7, 1998 / Notices 25215

Boulevard, Baltimore, Maryland 21244–

1850.

Dated: April 28, 1998.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA Office

of Information Services, Information

Technology Investment Management Group,

Division of HCFA Enterprise Standards.

[FR Doc. 98–12092 Filed 5–6–98; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–116, HCFA–R–

148, and HCFA–R–231]

Agency Information Collection

Activities: Proposed Collection;

Comment Request

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.

1. Type of Information Collection

Request: Revision of a currently

approved collection; Title of

Information Collection: Clinical

Laboratory Improvement Amendments

(CLIA) Application Form and

Supporting Regulations in 42 CFR

493.1–.2001; Form No.: HCFA–116

(OMB# 0938–0581); Use: These

certification requirements have been

established for any entity that performs

testing on human beings for diagnostic

or treatment purposes. If a laboratory

conducts relatively simple tests that are

categorized as waived or provider

performed microscopy test procedures

(PPMP), it must obtain a certificate of

waiver or certificate of PPMP. If the

laboratory conducts any tests outside of

these two categories, it must apply for

a certificate of compliance or certificate

of accreditation and initially obtain a

registration certificate. These certificates

ensure that laboratories are in

compliance with CLIA.; Frequency:

Biennially; Affected Public: Business or

other for profit, not for profit

institutions, Federal Government, and

State, local or tribal government;

Number of Respondents: 16,000; Total

Annual Responses: 16,000; Total

Annual Hours: 20,000.

2. Type of Information Collection

Request: Extension of a currently

approved collection; Title of

Information Collection: Limitation on

Provider-Related Donations and Health

Care-Related Taxes; Limitations on

Payments to Disproportionate Share

Hospitals; Medicaid and Supporting

Regulations in 42 CFR 433.68, 433.74,

447.74 and 447.272; Form No.: HCFA–

R–148 (OMB# 0938–0618); Use: These

information collection requirements

specify limitations on the amount of

Federal financial participation available

for medical assistance expenditures in a

fiscal year. States receive donated funds

from providers and revenues are

generated by health care related taxes.

These donations and revenues are used

to fund medical assistance programs.;

Frequency: Quarterly; Affected Public:

State, Local, or Tribal Government;

Number of Respondents: 51; Total

Annual Responses: 51; Total Annual

Hours: 3,892.

3. Type of Information Request:

Revision of a currently approved

collection; Title of Information

Collection: Medicare+Choice (M+C)

Providers Sponsored Organization

(PSO) Waiver Request Form and

Supporting Regulations in 42 CFR

422.374; Form Number: HCFA–R–231;

Use: The PSO waiver request form is for

use by PSO’s that do not have a State

risk-bearing entity license and that wish

to enter into a M+C contract with HCFA

to provide prepaid health care services

to eligible Medicare beneficiaries. HCFA

will use the information requested on

this form to determine whether the

applicant is eligible for a waiver of the

state licensure requirement for M+C

organizations as allowed under section

1855(a)(2) of the Social Security Act.;

Frequency: One-time.; Affected Public:

Business or other for-profit, not-forprofit institutions, and Federal

Government.; Annual Number of

Respondents: 30.; Total Annual

Responses: 30.; Total Annual Hours

Requested: 300.

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

within 60 days of this notice directly to

the HCFA Paperwork Clearance Officer

designated at the following address:

HCFA, Office of Information Services,

Information Technology Investment

Management Group, Division of HCFA

Enterprise Standards, Attention: Louis

Blank, Room C2–26–17, 7500 Security

Boulevard, Baltimore, Maryland 21244–

1850.

Dated: April 24, 1998.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA Office

of Information Services, Information

Technology Investment Management Group,

Division of HCFA Enterprise Standards.

[FR Doc. 98–12094 Filed 5–6–98; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–R–235]

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.

Type of Information Collection

Request: New Collection; Title of

Information Collection: Data Use

Agreement Information Collection

Requirements, model agreement, and

Supporting regulations; Form No.: