[Federal Register Volume 62, Number 206 (Friday, October 24, 1997)]
[Notices]
[Page 55410]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-28208]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[HCFA-1513]


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

AGENCY: Health Care Financing Administration.
    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, is 
publishing the following summary of proposed collections for public 
comment. 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.
    Type of Information Collection Request: Reinstatement, with change, 
of a previously approved collection for which approval has expired; 
Title of Information Collection: Medicare/Medicaid Disclosure of 
Ownership and Control Interest Statement and Supporting Regulations in 
42 CFR 420.200-.206, 455.100-.106; Form No.: HCFA-1513 (OMB# 0938-
0086); Use: The Medicare/Medicaid Disclosure of Ownership and Control 
Interest Statement must be used by State agencies and HCFA regional 
offices to determine whether providers meet the eligibility 
requirements for Titles 18 and 19 (Medicare and Medicaid) and for 
grants under Titles V and XX. Review of ownership and control is 
particularly necessary to prohibit ownership and control for 
individuals excluded under Federal fraud statutes; Frequency: Other 
(every 1 to 3 years); Affected Public: Business or other for-profit, 
and Not-for-profit institutions; Number of Respondents: 92,000; Total 
Annual Responses: 92,000; Total Annual Hours: 46,000.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, E-mail your 
request, including your address, phone number, OMB number, and HCFA 
document identifier, 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: OMB 
Human Resources and Housing Branch, Attention: Allison Eydt, New 
Executive Office Building, Room 10235, Washington, D.C. 20503.

    Dated: October 17, 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. 97-28208 Filed 10-23-97; 8:45 am]
BILLING CODE 4120-03-P