Approved for use
through 3/2000 under the condition that no later than 10/98, HCFA
responds in writing to the attached OMB concerns.
Inventory as of this Action
Requested
Previously Approved
03/31/2000
03/31/2000
10/31/1998
11,000,000
0
11,000,000
183,333
0
183,333
0
0
0
Hospitals participating in the
Medicare program have agreed to distribute "An Important Message
from Medicare" to beneficiaries during each admission. Receiving
this information will provide the beneficiary with some ability to
participate and/or initate discussions concerning discussions
affecting Medicare coverage or payment and about his or her appeal
rights in response to any hospital's notice to the effect that
Medicare will no longer cover continued care in the
hospital.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.