[Federal Register Volume 62, Number 223 (Wednesday, November 19, 1997)]
[Notices]
[Page 61825]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-30368]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
Document Identifier: HCFA-R-94
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: Medicaid
Sterilization Regulations 45 CFR 96.73, 42 CFR 441 subpart F and
Consent Form; Form No.: HCFA-R-94 OMB 0938-0481; Use: All Medicaid-
eligible individuals seeking sterilization are required to sign the
federally mandated consent form, acknowledging that they understand the
benefits and risks of sterilization, and have received oral information
concerning the sterilization operation from the provider. Frequency:
Other (each time sterilization is sought); Affected Public: Individuals
or Households; Number of Respondents: 112,526; Total Annual Responses:
112,526; Total Annual Hours: 140,658.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, or to obtain the supporting
statement and any related forms, 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, D.C. 20503.
Dated: October 6, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information
Services,Information Technology Investment Management Group,Division of
HCFA Enterprise Standards.
[FR Doc. 97-30368 Filed 11-18-97; 8:45 am]
BILLING CODE 4120-03-P
