[Federal Register Volume 61, Number 220 (Wednesday, November 13, 1996)]
[Notices]
[Pages 58200-58201]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-29015]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-1961]


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, 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: Reinstatement, without change, of previously 
approved collection for which approval has expired; Title of 
Information Collection: HCFA Forms and manuals Order; Form No.: HCFA-
1961; Use: The HCFA-1961 will be used by Medicare Intermediaries, 
Carriers, State Agencies, SSA and End Stage Renal Networks to order 
Medicare/Medicaid forms and program manuals from the Health Care 
Financing Administration; Frequency: Annually; Affected Public: Federal 
Government and State, local, or tribal government; Number of 
Respondents: 200; Total Annual Responses: 200; Total Annual Hours: 400.
    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 
Analysis and

[[Page 58201]]

Planning Staff, Attention: Linda Mansfield, Room C2-26-17, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: November 5, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 96-29015 Filed 11-12-96; 8:45 am]
BILLING CODE 4120-03-P