[Federal Register Volume 67, Number 95 (Thursday, May 16, 2002)]
[Notices]
[Page 34938]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-12239]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-2786]


Agency Information Collection Activities: Submission for OMB 
Review; 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: Fire Safety Survey Report Forms 
and Supporting Regulations in 42 CFR 416.44, 418.100, 482.41, 483.70, 
483.470.
    Form No.: CMS-2786 A-D, F, G, H, J, K, L, M, P and Q (OMB# 0938-
0242).
    Use: The information from these forms will be used to make 
Medicare/Medicaid certification decisions. We request information in 
accordance with the Life Safety Code of the National Fire Protection 
Association. CMS then surveys all facilities based upon prior 
compliance history; that is, the ``good'' facilities will be surveyed 
less frequently. Either the short or long fire safety form will be 
utilized each time a health survey is performed, depending on the 
circumstances.
    Frequency: Annually.
    Affected Public: State, Local, or Tribal Government.
    Number of Respondents: 53.
    Total Annual Responses: 27,900.
    Total Annual Hours: 23,437.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
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 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Allison Eydt, Medicare 
Desk Officer, New Executive Office Building, Room 10235, Washington, DC 
20503.

    Dated: April 23, 2002.
John P. Burke III,
CMS Reports Clearance Officer, CMS Office of Information Services, 
Security and Standards Group, Division of CMS Enterprise Standards.
[FR Doc. 02-12239 Filed 5-15-02; 8:45 am]
BILLING CODE 4120-03-P