[Federal Register Volume 61, Number 95 (Wednesday, May 15, 1996)]
[Notices]
[Page 24501]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12106]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA R-0107]


Submitted for Collection of Public Comment: Submission for OMB 
Review

    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 
proposals for the collection of information. 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 other 
forms of information technology to minimize the information collection 
burden.
    1. Type of Request: Extension of a currently approved collection; 
Title of Information Collection: Medicaid--Determining Liability of 
Third Parties; Form No.: HCFA-R-0107; Use: The information collected 
from Medicaid applicants and recipients as well as from State and local 
agencies is necessary to determine the legal liability of third parties 
to pay for medical services in lieu of Medicaid payment; Frequency: On 
occasion; Affected Public: Federal Government and State, local, or 
tribal government; Number of Respondents: Varies; Total Annual 
Responses: Varies; Total Annual Hours: 171,165.
    To request copies of the proposed paperwork collection referenced 
above, E-mail your request, including your address, to 
P[email protected], or call the Reports Clearance Office on (410) 786-
1326. Written comments and recommendations for the proposed information 
collections should be sent within 60 days of this notice directly to 
the HCFA Paperwork Clearance Officer designated at the following 
address: HCFA, Office of Financial and Human Resources, Management 
Planning and Analysis Staff, Attention: Linda Mansfield, Room C2-26-17, 
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
    Date: May 8, 1996.
Kathleen B. Larson,
Director, Management Planning and Analysis Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-12106 Filed 5-14-96; 8:45 am]
BILLING CODE 4120-03-P