[Federal Register Volume 66, Number 156 (Monday, August 13, 2001)]
[Notices]
[Page 42545]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-20226]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-235]


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 (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.
    Type of Information Collection Request: Revision of a currently 
approved collection;
    Title of Information Collection: Data Use Agreement and Information 
Collection Requirements, model language, and Supporting Regulations in 
45 CFR, Section 5b;
    Form No.: CMS-R-235 (OMB# 0938-0734);
    Use: This agreement is used as a binding agreement stating 
conditions under which CMS will disclose and user will maintain CMS 
data that are protected by the Privacy Act.;
    Frequency: On occasion;
    Affected Public: Not-for-profit institutions;
    Number of Respondents: 1,500;
    Total Annual Responses: 1,500;
    Total Annual Hours: 750.
    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 17, 2001.
John P. Burke III,
CMS Reports Clearance Officer, CMS, Office of Information Services, 
Security and Standards Group, Division of CMS Enterprise Standards.
[FR Doc. 01-20226 Filed 8-10-01; 8:45 am]
BILLING CODE 4120-03-P