[Federal Register Volume 62, Number 142 (Thursday, July 24, 1997)]
[Notices]
[Pages 39848-39849]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-19516]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-485 and HCFA-1513]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, HHS.
    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: Extension of a currently 
approved collection; Title of Information Collection: Home Health 
Services Under Hospital Insurance and Supporting Regulations in 42 CFR 
409.40-.50, 410.36, 410.170, 411.4-.15, 421.100, 424.22, 484.18 and 
489.21; Form No.: HCFA-485 (OMB# 0938-0357); Use: The ``Home Health 
Services Under Hospital Insurance'' is a certification and plan of care 
used by the Regional Home Health Intermediaries (RHHIs) to ensure 
reimbursement is made to Home Health agencies only for services that 
are covered and medically necessary under Part A and Part B. The 
attending physician must sign the HCFA-485 (OMB 0938-0357) authorizing 
the home services for a period not to exceed 62 days; Frequency: Other 
(initial claim and every second claim thereafter); Affected Public: 
Business or other for-profit; Number of Respondents: 9,044; Total 
Annual Responses: 10,080,000; Total Annual Hours: 2,520,000.
    2. Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Medicare/Medicaid Disclosure 
of Ownership and Control Interest Statement and Supporting Regulations 
in 42 CFR 420.200-.206, 455.100-.106 and 45 CFR 228.72-.73; Form No.: 
HCFA-1513 (OMB# 0938-0086); Use: The Medicare/Medicaid Disclosure of 
Ownership and Control Interest Statement must be used by State agencies 
and HCFA regional offices to determine whether providers meet the 
eligibility requirements for Titles 18 and 19 (Medicare and Medicaid) 
and for grants under Titles V and XX. Review of ownership and control 
is particularly necessary to prohibit ownership and control for 
individuals excluded under Federal fraud statutes; Frequency: Other 
(every 1 to 3 years); Affected Public: Business or other for-profit, 
and Not-for-profit institutions; Number of Respondents: 92,000; Total 
Annual Responses: 92,000; Total Annual Hours: 46,000.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, E-mail your 
request, including your address and phone number, to 
P[email protected], 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 Information Services, Information Technology 
Investment Management Group, Division of HCFA Enterprise Standards, 
Attention: Louis Blank, Room C2-26-17, 7500 Security

[[Page 39849]]

Boulevard, Baltimore, Maryland 21244-1850.

    Dated: July 18, 1997.
John P. Burke III,
HCFA Reports Clearance Officer
Division of HCFA Enterprise Standards, Health Care Financing 
Administration.
[FR Doc. 97-19516 Filed 7-23-97; 8:45 am]
BILLING CODE 4120-03-P