[Federal Register Volume 62, Number 47 (Tuesday, March 11, 1997)]
[Notices]
[Page 11214]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-6063]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA 3070 G-I]
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: Revision of currently
approved collection; Title of Information Collection: Intermediate Care
Facility for the Mentally Retarded or Persons with Related Conditions
Survey Report Form and Supporting Regulations 42 CFR Sections 431, 435,
440, 442 and 483, Subpart I; Form No.: HCFA 3070 G-I; Use: The survey
form and supporting regulations are needed to ensure provider
compliance. In order to participate in the Medicaid program as an
Intermediate Care Facility for the Mentally Retarded (ICF/MR),
providers must meet Federal standards. The survey report form is used
to record providers' compliance with the individual standard and report
it to the Federal Government. Frequency: annually; Affected Public:
Business or other for-profit, Not for-profit institutions, State, Local
or Tribal Govt.; Number of Respondents: ,7200; Total Annual Responses:
,7200; Total Annual Hours: 21,600.
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/regs/prdact95.htm, 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 HCFA Paperwork Clearance
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: February 28, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-6063 Filed 3-10-97; 8:45 am]
BILLING CODE 4120-03-P
