[Federal Register Volume 60, Number 20 (Tuesday, January 31, 1995)]
[Notices]
[Page 5940]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-2253]



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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

AGENCY: Health Care Financing Administration, HHS.

    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: Revision of a currently approved collection; 
Title of Information Collection: Quarterly Medicaid Statement of 
Expenditures; Form No.: HCFA-64; Use: This information is submitted by 
State Medicaid agencies to report their actual program and 
administrative expenditures. HCFA uses this information to compute the 
Federal share for reimbursement of State Medicaid program costs; 
Frequency: Quarterly; Respondents: State or local governments; 
Estimated Number of Responses: 57; Average Hours Per Response: 59.5; 
Total Estimated Burden Hours: 13,566.
    2. Type of Request: Revision of a currently approved collection; 
Title of Information Collection: Medicaid Post Eligibility Preprint; 
Form No.: HCFA-SP-1; Use: This information collection is required to 
standardize the display of information on the post eligibility process 
in the State Medicaid plan. The State plan is used as a basis for 
Federal financial participation in the State program; Frequency: On 
occasion; Respondents: State or local governments; Estimated Number of 
Responses: 56; Average Hours Per Response: .59; Total Estimated Burden 
Hours: 529.
    Additional Information or Comments: Call the Reports Clearance 
Office on (410) 966-5536 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.

    Dated: January 17, 1995.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 95-2253 Filed 1-30-95; 8:45 am]
BILLING CODE 4120-03-P