[Federal Register Volume 66, Number 189 (Friday, September 28, 2001)]
[Notices]
[Pages 49676-49677]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-24285]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-102, 105]


Agency Information Collection Activities: Submission for OMB 
Review; 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, the 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: CLIA Budget 
Workload Reports and Supporting Regulations in 42 CFR 493.1-.2001; Form 
No.: HCFA-102/105 (OMB# 0938-0599); Use: This information will be used 
by HCFA to determine the amount of Federal reimbursement for compliance 
surveys. In addition, the HCFA 102/105 is used for program evaluation, 
budget formulation and budget approval.; Frequency: Quarterly and 
Annually; Affected Public: State, local or tribal government; Number of 
Respondents: 50; Total Annual Responses: 50; Total Annual Hours: 4,500.
    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

[[Page 49677]]

information collections must be mailed within 30 days of this notice 
directly to the OMB desk officer: OMB Human Resources and Housing 
Branch, Attention: Brenda Aguilar, New Executive Office Building, Room 
10235, Washington, DC 20503.

    Dated: September 11, 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. 01-24285 Filed 9-27-01; 8:45 am]
BILLING CODE 4120-03-P