[Federal Register Volume 67, Number 92 (Monday, May 13, 2002)]
[Notices]
[Page 32052]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-11822]



[[Page 32052]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-232]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services.
    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 (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; 
Title of Information Collection: Supporting Statement for Medicare 
Program Integrity Program Organizational Conflict of Interest 
Disclosure Certificate and Supporting Regulations in 42 CFR 421.300 and 
421.318; Form No.: CMS-R-232 (OMB# 0938-0723); Use: This information is 
used to assess whether contractors who perform, or who seek to perform, 
Medicare Integrity Program functions, such as medical review, fraud 
review or cost audits, have organizational conflicts of interest and 
whether any conflicts have been resolved. The entities providing the 
information will be organizations that have been awarded, or seek award 
of, a Medicare Integrity Program contract; Frequency: On occasion; 
Affected Public: Businesses or other for profit; Number of Respondents: 
5; Total Annual Responses: 5; Total Annual Hours: 1,000.
    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 R 232,
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. 02-11822 Filed 5-10-02; 8:45 am]
BILLING CODE 4120-03-P