[Federal Register Volume 59, Number 19 (Friday, January 28, 1994)]
[Unknown Section]
[Page ]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-1920]


[Federal Register: January 28, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families


Agency Information Collection Under OMB Review

    Under the provisions of the Federal Paperwork Reduction Act (44 
U.S.C. chapter 35), we have submitted to the Office of Management and 
Budget (OMB) a request for approval for the continued use of an 
information collection titled: ``Worksheet for Integrated AFDC, Food 
Stamps and Medicaid Eligibility Quality Control Reviews.'' This 
information collection is jointly designed and used by the Office of 
Family Assistance (OFA) of the Administration for Families and Children 
(ACY) and Health Care Financing Administration (HCFA) both of the 
Department of Health and Human Services and the Food and Nutrition 
Service (FNS) of the Department of Agriculture.

addresses: Copies of this information collection request may be 
obtained from Stephen R. Smith of the Office of Information Systems 
Management, ACY, by calling (202) 401-6964.
    Written comments and questions regarding the requested approval for 
information collection should be sent directly to: Laura Oliven, OMB 
Desk Officer for ACF, OMB Reports Management Branch, New Executive 
Office Building, room 3002, 725 17th Street NW., Washington, DC 20503, 
(202) 395-7316.

Information on Document

    Title: Worksheet for Integrated AFDC, Adult, Food Stamps and 
Medicaid Eligibility Quality Control Reviews Form ACF-4340.
    OMB No.: 0970-0072.
    Description: This information collection is authorized by Sections 
2, 408, 1402, and 1602 of the Social Security Act and required under 
regulatory authority found at 45 CFR 205.40. The Worksheet for 
Integrated Quality Control Reviews is a joint form developed and 
utilized by the Administration for Children and Families and Health 
Care Financing Administration both of the Department of Health and 
Human Services and the Food and Nutrition Service of the Department of 
Agriculture for quality reviews of the Aid to Families with Dependent 
Children (AFDC), Food Stamps and Medicaid programs. The Quality Control 
(QC) Reviews of the three programs are conducted by the State agencies 
which administer the programs for the sponsoring federal agencies. Form 
4340 is used by the States to document the findings of state quality 
reviewers who review the correctness of a sample of eligibility 
decisions made by the states for the AFDC, Food Stamps and Medicaid 
programs. The purpose of this QC reviews are to assure that individuals 
are not being denied categories of Federal assistance for which they 
are eligible and to take necessary corrective measures to reduce the 
incidence of improperly authorized or denied assistance.
    This information is utilized in determining the principal causes of 
incorrect actions and in developing appropriate corrective action.

Annual Number of Respondents: 59,500
Annual Frequency: 1
Average Burden Hours Per Response: 11.0236
Total Burden Hours: 655,904

    Dated: January 21, 1994.
Larry Guerrero,
Deputy Director, Office of Information Systems Management.
[FR Doc. 94-1920 Filed 1-27-94; 8:45 am]
BILLING CODE 4184-01-M