[Federal Register Volume 66, Number 202 (Thursday, October 18, 2001)]
[Notices]
[Page 52924]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-26286]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-249]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services.
    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, 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: Hospice Cost 
Report and Supporting Regulations in 42 CFR 413.20, and 413.24; Form 
No.: CMS-R-0249 (OMB# 0938-0758); Use: Medicare certified hospice 
programs must file an annual cost report with CMS. This report contains 
information on overhead costs, assets, depreciation, and compensation 
which will be used for hospice rate evaluations.; Frequency: Annually; 
Affected Public: Business or other for-profit, Not-for-profit 
institutions, and State, Local or Tribal Government; Number of 
Respondents: 1,720; Total Annual Responses: 1,720; Total Annual Hours: 
302,720.
    To obtain copies of the supporting statement and any related forms 
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, 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: Dawn Willinghan, CMS-R-
249, Room N2-14-26 7500 Security Boulevard, Baltimore, Maryland 21244-
1850.

    Dated: October 10, 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. 01-26286 Filed 10-17-01; 8:45 am]
BILLING CODE 4120-03-P