[Federal Register Volume 61, Number 214 (Monday, November 4, 1996)]
[Notices]
[Pages 56689-56690]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-28147]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-137]
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, is
publishing the following summary of proposed collections for public
comment. 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: Reinstatement, with change,
of a previously approved collection for which approval has expired;
Title of
[[Page 56690]]
Information Collection: Internal Revenue Service/Social Security
Administration/Health Care Financing Administration Data Match 42 CFR
411; Form No.: HCFA-R-137; Use: Employers who are identified through a
match of IRS, SSA, and Medicare records will be contacted concerning
group health plan coverage of identified individuals to ensure
compliance with Medicare Secondary Payer provisions found at 42 U.S.C.
1395y(b). Frequency: Semi-annually; Affected Public: Individuals or
Households, Business or other for profit, Not for profit institutions,
Farms, Federal Government and State, Local or Tribal Government; Number
of Respondents: 596,241; Total Annual Responses: 596,241; Total Annual
Hours Requested: 2,325,449.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS
at http://www.hcfa.gov, 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 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 Planning Staff, Attention: Louis Blank, Room
C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: October 25, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources.
[FR Doc. 96-28147 Filed 11-01-96; 8:45 am]
BILLING CODE 4120-03-P
