[Federal Register Volume 62, Number 189 (Tuesday, September 30, 1997)]
[Notices]
[Pages 51114-51115]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-25909]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-R-211]
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, is
publishing the following summary of proposed collections for public
comment. 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: Revision of a currently
approved collection; Title of Information Collection: State Child
Health Plan and Supporting Information Collection Requirements
Referenced in Title XXI of the Social Security Act; Form No.: HCFA-R-
211, OMB # 0938-0707; Use: This Model template will enable states to
apply for funds under Title XXI of the Social Security Act, to initiate
and expand the provision of child health insurance to uninsured, low
income children in a effective and efficient manner that is coordinated
with other sources of health coverage for children; Affected Public:
State, Local or Tribal Government; Number of Respondents: 56; Total
Annual Responses: 56; Total Annual Hours: 8,960.
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 60 days of this notice directly to the HCFA Paperwork Clearance
Officer designated at the following address:
[[Page 51115]]
HCFA, Office of Information Services, Information Technology Investment
Management Group, Division of HCFA Enterprise Standards, Attention:
John Rudolph, Room C2-26-17, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: September 19, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards,
Health Care Financing Administration.
[FR Doc. 97-25909 Filed 9-29-97; 8:45 am]
BILLING CODE 4120-03-P
