[Federal Register Volume 61, Number 220 (Wednesday, November 13, 1996)]
[Notices]
[Pages 58200-58201]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-29015]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-1961]
Agency Information Collection Activities: Proposed Collection:
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
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 Request: Reinstatement, without change, of previously
approved collection for which approval has expired; Title of
Information Collection: HCFA Forms and manuals Order; Form No.: HCFA-
1961; Use: The HCFA-1961 will be used by Medicare Intermediaries,
Carriers, State Agencies, SSA and End Stage Renal Networks to order
Medicare/Medicaid forms and program manuals from the Health Care
Financing Administration; Frequency: Annually; Affected Public: Federal
Government and State, local, or tribal government; Number of
Respondents: 200; Total Annual Responses: 200; Total Annual Hours: 400.
To request copies of the proposed paperwork collection referenced
above, E-mail your request, including your address, to
Paperwork@hcfa.gov, or call the Reports Clearance Office on (410) 786-
1326. Written comments and recommendations for the proposed information
collections should be sent within 60 days of this notice directly to
the HCFA Paperwork Clearance Officer designated at the following
address: HCFA, Office of Financial and Human Resources, Management
Analysis and
[[Page 58201]]
Planning Staff, Attention: Linda Mansfield, Room C2-26-17, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: November 5, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-29015 Filed 11-12-96; 8:45 am]
BILLING CODE 4120-03-P
