[Federal Register Volume 67, Number 80 (Thursday, April 25, 2002)]
[Notices]
[Page 20519]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-10196]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-243]


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: Medicare 
Agreement Application, Health Care Prepayment Plan and Supporting 
Regulations in 42 CFR, 417.800-.840; Form No.: CMS-R-243 (OMB# 0938-
0768 ); Use: An organization must meet certain regulatory requirements 
to be a Health Care Prepayment Plan that is eligible for a Medicare 
Section 1833 agreement. The application is the collection form to 
obtain the information from an organization that enables CMS staff to 
determine compliance with the regulations; Frequency: one time 
submission; Affected Public:; Business or other for-profit, Not-for-
profit institutions, State, local and Tribal Government.; Number of 
Respondents: 10;Total Annual Responses: 10; Total Annual Hours: 750.
    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: Melissa Musotto, Room N2-14-26, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: April 16, 2002.
John P. Burke III,
Reports Clearance Officer, Security and Standards Group, Division of 
CMS Enterprise Standards.
[FR Doc. 02-10196 Filed 4-24-02; 8:45 am]
BILLING CODE 4120-03-P