[Federal Register Volume 66, Number 146 (Monday, July 30, 2001)]
[Notices]
[Pages 39321-39322]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-18846]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-231]


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 Centers for Medicare and Medicaid 
Services (CMS), 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

[[Page 39322]]

(4) the use of automated collection techniques or other forms of 
information technology to minimize the information collection burden.
    Type of Information Request: Extension of a currently approved 
collection; Title of Information Collection: Medicare+Choice (M+C) 
Provider Sponsored Organization (PSO) Waiver Request Form and 
Supporting Regulations in 42 CFR 422.370-422.378; Form Number: CMS-R-
231 (0938-0722); Use: The PSO waiver request form is for use by PSO's 
that do not have a State risk-bearing entity licence and that wish to 
enter into a M+C contract with CMS to provide prepaid health care 
services to eligible Medicare beneficiaries. CMS will use the 
information requested on this form to determine whether the applicant 
is eligible for a waiver of the state licensure requirement for M+C 
organizations as allowed under section 1855(a)(2) of the Social 
Security Act.; Frequency: One-time.; Affected Public: Business or other 
for-profit, Not-for-profit institutions, and Federal Government.; 
Annual Number of Respondents: 10.; Total Annual Responses: 10.; Total 
Annual Hours Requested: 100.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access CMS'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: July 10, 2001.
Julie Brown,
Acting, CMS Reports Clearance Officer, CMS, Office of Information 
Services, Security and Standards Group, Division of CMS Enterprise 
Standards.
[FR Doc. 01-18846 Filed 7-27-01; 8:45 am]
BILLING CODE 4120-03-P