[Federal Register Volume 67, Number 27 (Friday, February 8, 2002)]
[Notices]
[Pages 6035-6036]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-3026]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[CMS--339]


Agency Information Collection Activities: Proposed Collection; 
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

[[Page 6036]]

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: Revision of a currently approved 
collection; Title of Information Collection: Medicare Provider Cost 
Report Reimbursement Questionnaire and Supporting Regulations in 43 CFR 
413.20, 413.24, 415.50, 415.55, 415.60, 415.70, 415.150, 415.152, 
415.160, and 415.162; Form No.: HCFA-339 (OMB# 0938-0301); Use: The 
Medicare provider Cost Report Reimbursement Questionnaire must be 
completed by all providers to assist in preparing an acceptable cost 
report, to ensure proper Medicare reimbursement, and to minimize 
subsequent contact between the provider and its fiscal intermediary. It 
is designed to answer pertinent questions about key reimbursement 
concepts found in the cost report and to gather information necessary 
to support certain financial and statistical entries on the cost 
report; Frequency: Annually; Affected Public: Business or other for-
profit, Not-for-profit institutions, and State, local and tribal 
government; Number of Respondents: 30,526; Total Annual Responses: 
30,526; Total Annual Hours: 717,361.
    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: Julie Brown, CMS 339, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: January 30, 2002.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
CMS Enterprise Standards.
[FR Doc. 02-3026 Filed 2-7-02; 8:45 am]
BILLING CODE 4120-03-M