[Federal Register Volume 67, Number 54 (Wednesday, March 20, 2002)]
[Notices]
[Page 12997]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-6751]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-74]


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 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: Income and Eligibility 
Verification System (IEVS) and Supporting Regulations in 42 CFR 
435.940-435.965.
    Form No.: CMS-R-74 (OMB# 0938-0467).
    Use: Section 1137 of the Social Security Act requires Medicaid 
State agencies and other federally funded welfare agencies to request 
income and resource data from certain federal agencies, State wage 
information collection agencies, and State unemployment compensation 
agencies through an IEVS. The purpose of the IEVS is to ensure that 
only eligible individuals receive benefits.
    Frequency: Annually.
    Affected Public: State, local, or tribal government.
    Number of Respondents: 54.
    Total Annual Responses: 54.
    Total Annual Hours: 131,390.
    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-R-74, 
Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: March 12, 2002.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
CMS Enterprise Standards.
[FR Doc. 02-6751 Filed 3-19-02; 8:45 am]
BILLING CODE 4120-03-P