Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
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###### Department of Health and Human Services

###### Health Care Financing Administration 

          - [Document Identifier: HCFA-10004] 

# AGENCY:

Health Care Financing Administration, DHHS.

                        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                               ( print page 9588)                            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:*                         Restraints/Seclusion Death Reporting for Hospitals;                         *Form No.:*                         HCFA-10004 (OMB# 0938-NEW);                         *Use:*                         This collection requires hospitals to report deaths of patients that occur while the patient is in restraints or seclusion;                         *Frequency:*                         On occasion;                         *Affected Public:*                         Businesses and other for-profit, Not-for-profit institutions;                         *Number of Respondents:*                         6,072;                         *Total Annual Responses:*                         75;                         *Total Annual Hours:*                         3.                    

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 30 days of this notice directly to the OMB desk officer: OMB Human Resources and Housing Branch, Attention: Wendy Taylor, New Executive Office Building, Room 10235, Washington, D.C. 20503.

Dated: January 23, 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. 01-3228 Filed 2-7-01; 8:45 am] 

BILLING CODE 4120-03-P