[Federal Register Volume 66, Number 106 (Friday, June 1, 2001)]
[Notices]
[Page 29824]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-13761]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-2728]


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 a previously 
approved collection;
    Title of Information Collection: End Stage Renal Disease Medical 
Evidence Report Medicare Entitlement and/or Patient Registration and 
Supporting Regulations in 42 CFR, 405.2133;
    Form No.: HCFA-2728 (OMB# 0938-0046);
    Use: To capture the necessary medical information required to 
determine Medicare eligibility of an end stage renal disease claimant. 
It also captures the specific medical data required for research and 
policy decisions on this population as required by law;
    Frequency: weekly, monthly, quarterly, semi-annually, and annually;
    Affected Public: Individuals or households, business or other for 
profit, not-for-profit institutions;
    Number of Respondents: 60,000;
    Total Annual Responses: 60,000;
    Total Annual Hours: 25,000.
    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 E-mail your request, 
including your address and phone number, to <a href="/cdn-cgi/l/email-protection#540435243126233b263f143c3732357a333b22"><span class="__cf_email__" data-cfemail="7b2b1a0b1e090c1409103b13181d1a551c140d">[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 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: May 17, 2001.
John P. Burke, III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 01-13761 Filed 5-31-01; 8:45 am]
BILLING CODE 4120-03-P


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