[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