[Federal Register Volume 66, Number 14 (Monday, January 22, 2001)]
[Notices]
[Pages 6629-6630]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-1725]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-0232]


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

AGENCY: Health Care Financing Administration, HHS.
    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: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Integrity Program Organizational Conflict of Interest Disclosure 
Certificate and Supporting Regulations at 42 CFR 421.300-421.318; Form 
No.: HCFA-R-0232 (OMB# 0938-0723); Use: HCFA needs this information to 
assess whether contractors who perform, or who seek to perform, 
Medicare Integrity Program functions, such as medical review, fraud 
review or cost audits, have organizational conflicts of interest and 
whether any conflicts have been resolved. The entities providing the 
information are organizations that have been awarded, or seek award of, 
a Medicare Integrity Program contract; Frequency: On occasion; Affected 
Public: Business or other for-profit; Number of Respondents: 10; Total

[[Page 6630]]

Annual Responses: 10; Total Annual Hours: 2,400. To obtain copies of 
the supporting statement and any related forms 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, phone number, OMB number, and HCFA document 
identifier, 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: OMB Human Resources and 
Housing Branch, Attention: Wendy Taylor, New Executive Office Building, 
Room 10235, Washington, DC 20503.

    Dated: January 10, 2001.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 01-1725 Filed 1-19-01; 8:45 am]
BILLING CODE 4120-03-U