[Federal Register Volume 61, Number 98 (Monday, May 20, 1996)]
[Notices]
[Page 25229]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12527]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration.

    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 summaries 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: New Collection; Title of 
Information Collection: Evaluation of the Oregon Medicaid Reform 
Demonstration: Adult Interview, Child Interview, Pediatric Asthma 
Interview, Insulin-Dependent Diabetes Interview, Low Back Pain 
Interview, Medical Provider Questionnaire; Form No.: HCFA-R-192; Use: 
The survey instruments listed above are for use in the Evaluation of 
the Oregon Medicaid Reform Demonstration. The Adult and Child 
Interviews are designed to collect information related to health 
status, access to care, satisfaction with care and past health 
insurance status for adult and child members of the Oregon Health Plan 
(OHP). The Pediatric Asthma Interview, Insulin-Dependent Diabetes 
Interview and Low Back Pain Interview collect information on quality of 
care, utilization of care, satisfaction with care and health status of 
OHP members with selected ``tracer conditions.'' The Medical Provider 
Questionnaire is designed to collect information on how both 
participating and non-participating physicians view OHP; Frequency: 
Biennially, Other (one time); Affected Public: Not-for-profit 
institutions, individuals and households, business or other for-profit; 
Number of Respondents: 22,229; Total Annual Hours: 3,070.
    2. Type of Information Collection Request: New Collection; Title of 
Information Collection: Evaluation of the Per-Episode Home Health 
Prospective Payment Demonstration; Form No.: HCFA-R-195; Use: This 
evaluation will collect primary data from samples of patients and from 
demonstration agencies to assess impacts of per-episode payment on 
access to care, quality of care, and the use of non-Medicare services; 
Frequency: Other (one time); Affected Public: Not-for-profit 
institutions, individuals and households, business or other for-profit; 
Number of Respondents: 19,191; Total Annual Hours: 1,901.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Blood Bank 
Inspection Checklist and Report; Form No.: HCFA-282; Use: The blood 
bank inspection checklist instrument is used by the State agency to 
record data collected as part of the survey and certification process 
to determine compliance with the requirement for blood bank services 
under Clinical Laboratory Improvement Amendments; Frequency: 
Biennially; Affected Public: State, local, and tribal government, 
business or other for-profit, not-for-profit institutions, federal 
government; Number of Respondents: 2,500; Total Annual Hours: 1,250.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS 
at http://www.ssa.gov/hcfa/hcfahp2.html, 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#dcbdacb9aeabb3aeb79cb4bfbabdf2bbb3aa"><span class="__cf_email__" data-cfemail="6d0c1d081f1a021f062d050e0b0c430a021b">[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 Planning and Analysis Staff, Attention: 
John Burke, Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.

    Dated: May 13, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-12527 Filed 5-17-96; 8:45 am]
BILLING CODE 4120-03-P

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