[Federal Register Volume 61, Number 214 (Monday, November 4, 1996)]
[Notices]
[Pages 56689-56690]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-28147]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-R-137]


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: Reinstatement, with change, 
of a previously approved collection for which approval has expired; 
Title of

[[Page 56690]]

Information Collection: Internal Revenue Service/Social Security 
Administration/Health Care Financing Administration Data Match 42 CFR 
411; Form No.: HCFA-R-137; Use: Employers who are identified through a 
match of IRS, SSA, and Medicare records will be contacted concerning 
group health plan coverage of identified individuals to ensure 
compliance with Medicare Secondary Payer provisions found at 42 U.S.C. 
1395y(b). Frequency: Semi-annually; Affected Public: Individuals or 
Households, Business or other for profit, Not for profit institutions, 
Farms, Federal Government and State, Local or Tribal Government; Number 
of Respondents: 596,241; Total Annual Responses: 596,241; Total Annual 
Hours Requested: 2,325,449.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS 
at http://www.hcfa.gov, or to obtain the supporting statement and any 
related forms, E-mail your request, including your address and phone 
number, to P[email protected], 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 Financial and Human Resources, 
Management Analysis and Planning Staff, Attention: Louis Blank, Room 
C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: October 25, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources.
[FR Doc. 96-28147 Filed 11-01-96; 8:45 am]
BILLING CODE 4120-03-P