[Federal Register Volume 66, Number 198 (Friday, October 12, 2001)]
[Notices]
[Page 52139]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-25687]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-2746 (formerly HCFA-2746)]


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) formerly the Health Care Financing Administration), 
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: Extension of a currently 
approved collection; Title of Information Collection: End Stage Renal 
Disease Death Notification; Form No.: CMS-2746 (OMB# 0938-0448); Use: 
This form is completed by all Medicare approved ESRD facilities upon 
death of an ESRD patient. The forms primary purpose is to collect fact 
and cause of death. Reports of deaths are used to show cause of death 
and demographic characteristics of these patients.; Frequency: On 
occasion; Affected Public: Business or other for-profit; Federal 
Gov't., Not-for-profit institutions; Number of Respondents: 4,000; 
Total Annual Responses: 56,258; Total Annual Hours: 9,564.
    To obtain copies of the supporting statement 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 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: September 27, 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. 01-25687 Filed 10-11-01; 8:45 am]
BILLING CODE 4120-03-P