[Federal Register Volume 65, Number 88 (Friday, May 5, 2000)]
[Notices]
[Pages 26218-26219]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-11216]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-1957]


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

[[Page 26219]]

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: SSO Report of State Buy In 
Problems and Supporting Regulations in 42 CFR 407.40;
    Form No.: HCFA-1957 (0938-0035);
    Use: The HCFA-1957 is issued to assist with communications between 
the Social Security District Offices, Medicaid State Agencies and HCFA 
Central Offices in the resolution of beneficiary complaints, regarding 
entitlement under state buy-ins. It is used when a problem arises which 
cannot be resolved thru normal data exchange.
    Frequency: On occasion;
    Affected Public: State, Local or Tribal Government, and Individuals 
or Households;
    Number of Respondents: 2,000;
    Total Annual Responses: 2,000;
    Total Annual Hours: 716.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS 
at http://www.hcfa.gov/regs/prdact95.htm, or E-mail your request, 
including your address and phone number, to [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, DC 20503.

    Dated: April 10, 2000.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 00-11216 Filed 5-4-00; 8:45 am]
BILLING CODE 4120-03-P