95-15775. Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) for Clearance

[Federal Register Volume 60, Number 125 (Thursday, June 29, 1995)]
[Notices]
[Page 33811]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-15775]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration


Public Information Collection Requirements Submitted to the 
Office of Management and Budget (OMB) for Clearance

    The Health Care Financing Administration (HCFA), Department of 
Health and Human Services, has submitted to OMB the following proposals 
for the collection of information in compliance with the Paperwork 
Reduction Act (Public Law 96-511).
    1. Type of Request: Reinstatement, without change of a previously 
approved collection for which approval has expired; Title of 
Information Collection: Early and Periodic Screening, Diagnostic and 
Treatment (EPSDT) Report; Form No.: HCFA-416; Use: States are required 
to submit annual EPSDT program reports to HCFA pursuant to section 
1902(a) (43) of the Social Security Act. These reports provide HCFA 
with data necessary to assess the effectiveness of State EPSDT 
programs, to develop trend patterns and projections nationally, and to 
respond to inquiries; Respondents: State Medicaid agencies; Number of 
Respondents: 56; Total Annual Responses: 56; Total Annual Hours 
Requested: 1,568.
    Additional Information or Comments: Call the Reports Clearance 
Office on [phone] for copies of the clearance request packages. 
Written comments and recommendations for the proposed information 
collections should be sent 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.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 95-15775 Filed 6-28-95; 8:45 am]
BILLING CODE 4120-03-P