[Federal Register Volume 62, Number 120 (Monday, June 23, 1997)]
[Notices]
[Page 33890]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-16258]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[316]


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: Extension of a currently approved collection; 
Title of Information Collection: Medicaid, Integrated Quality Control 
Review Worksheet; Form No.: HCFA-316; Use: The integrated quality 
control (QC) worksheet is used by State case workers to collect case 
characteristics and QC data during the course of all QC reviews. In 
addition to case identifying information, the worksheet is also used to 
document and evaluate each of the independent full field investigation 
to determine eligibility and amount of payment under States' plans; 
Frequency: Monthly; Affected Public: State, local or tribal government; 
Number of Respondents: 51; Total Annual Responses: See supporting 
statement; Total Annual Hours: 262,072.
    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 Planning Staff, Attention: Linda Mansfield, Room C2-26-17, 
7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Date: June 12, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-16258 Filed 6-20-97; 8:45 am]
BILLING CODE 4120-03-P