[Federal Register Volume 62, Number 223 (Wednesday, November 19, 1997)]
[Notices]
[Page 61825]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-30368]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

Document Identifier: HCFA-R-94


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: Extension of a currently 
approved collection; Title of Information Collection: Medicaid 
Sterilization Regulations 45 CFR 96.73, 42 CFR 441 subpart F and 
Consent Form; Form No.: HCFA-R-94 OMB 0938-0481; Use: All Medicaid-
eligible individuals seeking sterilization are required to sign the 
federally mandated consent form, acknowledging that they understand the 
benefits and risks of sterilization, and have received oral information 
concerning the sterilization operation from the provider. Frequency: 
Other (each time sterilization is sought); Affected Public: Individuals 
or Households; Number of Respondents: 112,526; Total Annual Responses: 
112,526; Total Annual Hours: 140,658.
    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: October 6, 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. 97-30368 Filed 11-18-97; 8:45 am]
BILLING CODE 4120-03-P