[Federal Register: July 13, 2001 (Volume 66, Number 135)]
[Notices]
[Page 36795]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr13jy01-71]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-339]
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 currently
approved collection; Title of Information Collection: Medicare Provider
Cost Report Reimbursement Questionnaire and Supporting Regulations in
42 CFR 413.20, 413.24, 415.50, 415.55, 415.60, 415.70, 415.150,
415.152, 415.160, and 415.162; Form No.: HCFA-339 (OMB# 0938-0301);
Use: The Medicare Provider Cost Report Reimbursement Questionnaire must
be completed by all providers to assist in preparing an acceptable cost
report, to ensure proper Medicare reimbursement, and to minimize
subsequent contact between the provider and its fiscal intermediary. It
is designed to answer pertinent questions about key reimbursement
concepts found in the cost report and to gather information necessary
to support certain financial and statistical entries on the cost
report. In addition, it provides an audit trail for the fiscal
intermediary; Frequency: Annually; Affected Public: Business or other
for-profit, Not-for-profit institutions, and State, local and tribal
government; Number of Respondents: 33,144; Total Annual Responses:
33,144; Total Annual Hours: 1,342,332.
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 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
designated at the following address: OMB Human Resources and Housing
Branch, Attention: Allison Eydt, New Executive Office Building, Room
10235, Washington, DC 20503.
Dated: June 19, 2001.
John P. Burke III,
HCFA Reports Clearance Officer, Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 01-17514 Filed 7-12-01; 8:45 am]
BILLING CODE 4120-03-P