[Federal Register Volume 62, Number 57 (Tuesday, March 25, 1997)]
[Notices]
[Pages 14156-14157]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-7468]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-1957]
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: SSO Report of
State Buy In Problems, 42 CFR 407.40; Form No.: HCFA-1957; Use: The
HCFA-1957 is issued to assist with communications between the Social
Security District Offices, Medicaid State Agencies and HCFA Central
Offices in the resolution of beneficiary complaints, regarding
entitlement under state buy-ins. It is used when a problem arises which
cannot be resolved thru normal
[[Page 14157]]
data exchange. Frequency: On occasion; Affected Public: Individuals or
Households, and State, Local or Tribal Government; Number of
Respondents: 22,000; Total Annual Hours: 6,417.
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: March 17, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-7468 Filed 3-24-97; 8:45 am]
BILLING CODE 4120-03-P
