[Federal Register Volume 62, Number 166 (Wednesday, August 27, 1997)]
[Notices]
[Pages 45426-45427]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-22744]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA 901, 1-3]
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: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Qualification Application for
Competitive Medical Plan, Medicare Contract Application for Federally
Qualified Health Maintenance Organization (HMO) and supporting
regulations 42 CFR 417.143, and 417.408; Form No.: HCFA-901, 1-3 OMB #
0938-0470; Use: Prepaid health plans must meet certain regulatory
requirements which are captured in these applications, before they are
considered a Federally qualified HMO that is eligible for a Medicare
Sec. 1876 contract. Section 1876 of the Social Security Act authorizes
compensation to
[[Page 45427]]
eligible organizations either on a reasonable cost or a risk basis for
services provided under the Medicare program. Frequency: one time;
Affected Public: Business or other for-profit, Not-for-profit
institutions, and State, Local or Tribal Government; Number of
Respondents: 65; Total Annual Responses: 65; Total Annual Hours: 6,500.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, 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: August 21, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards.
[FR Doc. 97-22744 Filed 8-26-97; 8:45 am]
BILLING CODE 4120-03-P
