[Federal Register Volume 63, Number 58 (Thursday, March 26, 1998)]
[Notices]
[Page 14720]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-7856]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

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


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: 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 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: March 17, 1998.
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. 98-7856 Filed 3-25-98; 8:45 am]
BILLING CODE 4120-03-P