[Federal Register Volume 62, Number 24 (Wednesday, February 5, 1997)]
[Notices]
[Page 5433]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-2764]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[R-137]
Agency Information Collection Activities: Submission for OMB Review;
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
proposal for the collection of information. 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 Information Collection: Internal Revenue Service/Social
Security Administration/Health Care Financing Administration Data Match
42 CFR 411.20-411.206; 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 30 days of this notice
directly to the HCFA Paperwork Clearance 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 29, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-2764 Filed 2-4-97; 8:45 am]
BILLING CODE 4120-03-P