[Federal Register Volume 62, Number 120 (Monday, June 23, 1997)]
[Notices]
[Page 33890]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-16258]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[316]
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: Extension of a currently approved collection;
Title of Information Collection: Medicaid, Integrated Quality Control
Review Worksheet; Form No.: HCFA-316; Use: The integrated quality
control (QC) worksheet is used by State case workers to collect case
characteristics and QC data during the course of all QC reviews. In
addition to case identifying information, the worksheet is also used to
document and evaluate each of the independent full field investigation
to determine eligibility and amount of payment under States' plans;
Frequency: Monthly; Affected Public: State, local or tribal government;
Number of Respondents: 51; Total Annual Responses: See supporting
statement; Total Annual Hours: 262,072.
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 Planning Staff, Attention: Linda Mansfield, Room C2-26-17,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Date: June 12, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-16258 Filed 6-20-97; 8:45 am]
BILLING CODE 4120-03-P
