[Federal Register Volume 60, Number 212 (Thursday, November 2, 1995)]
[Notices]
[Pages 55719-55720]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-27222]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Public Information Collection Requirements Submitted for Public
Comment and Recommendations
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, has
submitted to the Office of Management and Budget (OMB) the following
proposals for the collection of information. 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, Baseline Survey; Form No.: HCFA-R-179; Use: The baseline
survey is one component in the evaluation of the Oregon Medicaid Reform
Demonstration (OMRD), a demonstration authorized under section 115 of
the Social Security Act. The purpose of the survey is to gather
information on the health status, past utilization, and level of
satisfaction of a sample of newly enrolled OMRD recipients, in a way
that allows followup contact and maximizes the likelihood of
preenrollment recall. Frequency: Annually; Affected Public: Individuals
or households; Number of Respondents: 2,667; Total Annual Hours: 500.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Field Testing of the Uniform Needs Assessment
Instrument; Form No.: HCFA-R-180; Use: The validity, reliability, and
administrative feasibility of the Uniform Needs Assessment instrument
will be tested in a small-scale trial. Also, a high risk screener will
be developed to identify hospital patients in need of extensive
discharge planning. Testing will be done in two phases approximately 1
year apart. Each phase will involve 12 provider sites, 420 patients,
and 840 total assessments. Frequency: Annually; Affected Public:
Individuals or households, business or other for profit and not-for-
profit institutions; Number of Respondents: 420; Total Annual Hours:
1,050.
3. Type of Information Collection Request: New collection; Title of
[[Page 55720]]
Information Collection: Data Collection and Analysis for Generating
Procedure Specific Cost Estimates; Form No.: HCFA-R-181; Use: The
Survey of Practice Costs is a survey of provider practices whose
services are covered by the Medicare Fee Schedule (MFS). The data
collected from this survey will enable HCFA to meet its congressional
mandate to develop resource-based practice expense relative value unit
estimates for the MFS by 1998; Frequency: Annually; Affected Public:
Individuals or households, business or other for profit; Number of
Respondents: 3,500; Total Annual Hours: 10,500.
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Evaluation of the
Medicare Cataract Surgery Alternate Payment Demonstration; Form No.:
HCFA-R-154; Use: This survey will be implemented in an effort to
estimate the effects of a bundled payment for cataract surgery on
Medicare beneficiaries. Effects of the packaged payment on the nature
of services, quality, and satisfaction will be measured. Frequency:
Annually; Affected Public: Individuals or households, business or other
for profit, not for profit; Number of Respondents: 1,686; Total Annual
Hours: 506.
5. Type of Information Collection Request: Reinstatement, with
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Alternative Quality
Assessment Survey; Form No.: HCFA-667; Use: This survey is used in lieu
of an onsite survey for those Clinical Laboratory Improvement
Amendments of 1988 (CLIA) laboratories with good performance determined
by their last onsite survey, and is designed to screen laboratories and
alert HCFA to where an onsite inspection is vital. The survey has been
revised to reflect CLIA's streamlined inspection process, to reduce
burden, and to improve the CLIA system by rewarding good performance.
Frequency: Annually; Affected Public: Business or other for profit, not
for profit, Federal Government, State, local, or tribal government;
Number of Respondents: 4,000; Total Annual Hours: 6,000.
To request copies of the proposed paperwork collections referenced
above, E-mail your request, including your address, to
P[email protected], or call the Reports Clearance Office on (410) 786-
1326. Written comments and recommendations for the proposed information
collections should be sent 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: October 25, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 95-27222 Filed 11-1-95; 8:45 am]
BILLING CODE 4120-03-P