[Federal Register Volume 67, Number 37 (Monday, February 25, 2002)]
[Notices]
[Page 8543]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-4360]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-79]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services DHHS. 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: Payment Adjustment for Sole 
Community Hospitals and Supporting Regulations in 42 CFR, Section 
412.92;
    Form No.: CMS-R-79 (OMB# 0938-0477);
    Use: Hospitals designated ``sole community hospitals'' that 
experience a 5 percent decrease in discharges in one cost reporting 
period, as compared to the previous period, due to unusual 
circumstances beyond its control, may request an adjustment to its 
Medicare payment amount;
    Frequency: On Occasion;
    Affected Public; Not-for-profit institutions, Business or other 
for-profit, and State, Local or Tribal Gov.;
    Number of Respondents: 40;
    Total Annual Responses: 40;
    Total Annual Hours: 160.
    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, of 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-79, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: February 14, 2002.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
CMS Enterprise Standards.
[FR Doc. 02-4360 Filed 2-22-02; 8:45 am]
BILLING CODE 4120-03-M