[Federal Register Volume 67, Number 5 (Tuesday, January 8, 2002)]
[Notices]
[Page 904]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-426]



[[Page 904]]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-0148]


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: Limitation on 
Provider-Related Donations and Health Care-Related Taxes; Limitations 
on Payments to Disproportionate Share Hospitals; Medicaid and 
Supporting Regulations in 42 CFR 433.68, 433.74, 447.74 and 447.272; 
Form No.: HCFA-R-148 (OMB#0938-0618); Use: These information collection 
requirements specify limitations on the amount of Federal financial 
participation available for medical assistance expenditures in a fiscal 
year. States receive donated funds from providers and revenues are 
generated by health care related taxes. These donations and revenues 
are used to fund medical assistance programs; Frequency: Quarterly; 
Affected Public: State, Local, or Tribal Government; Number of 
Respondents: 50; Total Annual Responses: 40; Total Annual Hours: 2,880.
    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 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: December 27, 2001.
Julie Brown,
Acting CMS Reports Clearance Officer, CMS Office of Information 
Services, Security and Standards Group, Division of CMS Enterprise 
Standards.
[FR Doc. 02-426 Filed 1-7-02; 8:45 am]
BILLING CODE 4120-03-P