[Federal Register Volume 62, Number 224 (Thursday, November 20, 1997)]
[Notices]
[Page 62064]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-30530]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-64]


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, is 
publishing the following summary of proposed collections for public 
comment. 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: Quarterly Medicaid Statement 
of Expenditures for the Medical Assistance Program; Form No.: HCFA-64; 
Use: This form is used by State Medicaid agencies to report their 
actual program benefit costs and administrative expenses to the Health 
Care Financing Administration (HCFA). HCFA uses this information to 
compute the Federal financial participation (FFP) for the State's 
Medicaid Program costs. Frequency: Quarterly; Affected Public: State, 
Local or Tribal Government; Number of Respondents: 56; Total Annual 
Responses: 224; Total Annual Hours: 11,984.
    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 60 days of this notice directly to the HCFA Paperwork Clearance 
Officer designated at the following address: HCFA, Office of 
Information Services, Information Technology Investment Management 
Group, Division of HCFA Enterprise Standards, Attention: John Rudolph, 
Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: November 14, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards, 
Health Care Financing Administration.
[FR Doc. 97-30530 Filed 11-19-97; 8:45 am]
BILLING CODE 4120-03-P