[Federal Register Volume 66, Number 146 (Monday, July 30, 2001)]
[Notices]
[Page 39321]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-18894]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-64]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, Centers for Medicare and Medicaid 
Services (CMS) (formerly known as 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: Quarterly 
Medicaid Statement of Expenditures for the Medical Assistance Program; 
Form No.: CMS-64 (OMB # 0938-0067); Use: State Medicaid agencies use 
the CMS-64 to report their actual program benefit costs and 
administrative expenses to CMS. CMS uses this information to compute 
the Federal financial participation for the State's Medicaid program; 
Frequency: Quarterly; Affected Public: State, local or tribal govt.; 
Number of Respondents: 56; Total Annual Responses: 224; Total Annual 
Hours: 16,464.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail 
your request, including your address, phone number, OMB number, and CMS 
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 60 days of this notice directly to the CMS Paperwork Clearance 
Officer designated at the following address:
    CMS Office of Information Services, Security and Standards Group, 
Division of CMS Enterprise Standards, Attention: Julie Brown, Att. CMS-
64, Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-
1850.

    Dated: July 20, 2001.
Julie Brown,
Acting Reports Clearance Officer, Security and Standards Group, 
Division of CMS Enterprise Standards.
[FR Doc. 01-18894 Filed 7-27-01; 8:45 am]
BILLING CODE 4120-03-P