[Federal Register Volume 64, Number 180 (Friday, September 17, 1999)]
[Notices]
[Pages 50520-50521]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-24220]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-R-0232]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Health Care Financing Administration.
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, is
publishing the following summary of proposed collections for public
comment. 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
[[Page 50521]]
other forms of information technology to minimize the information
collection burden.
Type of Information Collection Request: Extension; Title of
Information Collection: Supporting Statement for Medicare Program
Integrity Program Organizational Conflict of Interest Disclosure
Certificate and Supporting Regulations in 42 CFR 421.310 and 421.312;
Form No.: HCFA-R-0232 (OMB# 0938-0723); Use: This information is
used to assess whether contractors who perform, or who seek to perform,
Medicare Integrity Program functions, such as medical review, fraud
review or cost audits, have organizational conflicts of interest and
whether any conflicts have been resolved. The entities providing the
information will be organizations that have been awarded, or seek award
of, a Medicare Integrity Program contract; Frequency: On occasion;
Affected Public: Businesses or other for profit; Number of Respondents:
10; Total Annual Responses: 10; Total Annual Hours: 2,400.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access HCFA's
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail
your request, including your address, phone number, OMB number, and
HCFA document identifier, 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 60 days of this notice directly to the HCFA Paperwork Clearance
Officer designated at the following address: HCFA, Office of
Information Services, Security and Standards Group, Division of HCFA
Enterprise Standards, Attention: Julie Brown, Room N2-14-26, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: September 9, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-24220 Filed 9-16-99; 8:45 am]
BILLING CODE 4120-03-M
