[Federal Register Volume 67, Number 92 (Monday, May 13, 2002)]
[Notices]
[Page 32051]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-11821]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-1513]


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: Reinstatement, without change, 
of a previously approved collection for which approval has expired; 
Title of Information Collection: Medicare/Medicaid Disclosure of 
Ownership and Control Interest Statement and Supporting Regulations in 
42 CFR 420.200-.206, 455.100-.106 and 45 CFR 228.72-.73; Form No.: 
HCFA-1513 (OMB# 0938-0086); Use: The Medicare/Medicaid Disclosure of 
Ownership and Control Interest Statement must be used by State agencies 
and HCFA regional offices to determine whether providers meet the 
eligibility requirements for Titles 18 and 19 (Medicare and Medicaid) 
and for grants under Titles V and XX. Review of ownership and control 
is particularly necessary to prohibit ownership and control for 
individuals excluded under Federal fraud statutes; Frequency: Other 
(every 1 to 3 years); Affected Public: Business or other for-profit, 
and Not-for-profit institutions; Number of Respondents: 92,000; Total 
Annual Responses: 92,000; Total Annual Hours: 46,000.
    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-1513, 
Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: April 30, 2002.
John P. Burke, III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, CMS 
Office of Information Services, Security and Standards Group, Division 
of CMS Enterprise Standards, 7500 Security Boulevard, Baltimore MD 
21244.
[FR Doc. 02-11821 Filed 5-10-02; 8:45 am]
BILLING CODE 4120-03-P