[Federal Register Volume 62, Number 166 (Wednesday, August 27, 1997)]
[Notices]
[Pages 45426-45427]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-22744]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA 901, 1-3]


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, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Qualification Application for 
Competitive Medical Plan, Medicare Contract Application for Federally 
Qualified Health Maintenance Organization (HMO) and supporting 
regulations 42 CFR 417.143, and 417.408; Form No.: HCFA-901, 1-3 OMB # 
0938-0470; Use: Prepaid health plans must meet certain regulatory 
requirements which are captured in these applications, before they are 
considered a Federally qualified HMO that is eligible for a Medicare 
Sec. 1876 contract. Section 1876 of the Social Security Act authorizes 
compensation to

[[Page 45427]]

eligible organizations either on a reasonable cost or a risk basis for 
services provided under the Medicare program. Frequency: one time; 
Affected Public: Business or other for-profit, Not-for-profit 
institutions, and State, Local or Tribal Government; Number of 
Respondents: 65; Total Annual Responses: 65; Total Annual Hours: 6,500.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, 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: August 21, 1997.

John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services, 
Information Technology Investment Management Group, Division of HCFA 
Enterprise Standards.
[FR Doc. 97-22744 Filed 8-26-97; 8:45 am]
BILLING CODE 4120-03-P