[Federal Register Volume 62, Number 181 (Thursday, September 18, 1997)]
[Notices]
[Pages 49016-49017]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-24726]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-R-201]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    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: Revision of a currently

[[Page 49017]]

approved collection; Title of Information Collection: Managed Care 
Organization, Incentive Arrangement Disclosure Form and Supporting 
Regulations 42 CFR 417.479, 417.500, 434.44, 434.67, 434.70, 1003.100, 
1003.101, 1003.103, 1003.106; Form No.: HCFA-R-201 (OMB # 0938-0700) ; 
Use: These forms were created in an extensive cooperative effort with 
the American Association of Health Plans, State Medicaid Agency 
representatives, and the Medicaid Managed Care Technical Advisory group 
to monitor compliance with federal statute and supporting regulations, 
governing physician incentives under Medicare and Medicaid managed care 
organizations. The currently approved forms and the revised forms being 
submitted to OMB for approval are available for inspection on the HCFA 
web site, on the Internet, at http://www.hcfa.gov; Frequency: Annually; 
Affected Public: Business or other for profit, not for profit 
institutions, state, local or tribal government, and federal 
government; Number of Respondents: 450; Total Annual Responses: 450; 
Total Annual Hours: 45,000.
    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 OMB Desk 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: September 10, 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. 97-24726 Filed 9-17-97; 8:45 am]
BILLING CODE 4120-03-P