[Federal Register Volume 67, Number 95 (Thursday, May 16, 2002)]
[Notices]
[Page 34939]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-12241]



[[Page 34939]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-8003]


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: Home and 
Community-Based Services Waiver Requests and Supporting Regulations in 
42 CFR 440.180-.185, and 441.301-441.310; Form No.: CMS-8003 (OMB# 
0938-0449); Use: Under a Secretarial waiver, States may offer a wide 
array of home and community-based services to individuals who would 
otherwise require institutionalization. States requesting a waiver must 
provide certain assurances, documentation and cost & utilization 
estimates which are reviewed, approved and maintained for the purpose 
of identifying/verifying States' compliance with such statutory and 
regulatory requirements. The purpose of this request is to provide 
authority for the State to furnish such individuals with services in 
the home and community-based setting; Frequency: When a State requests 
a waiver or amendment to a waiver; Affected Public: State, Local or 
Tribal Government; Number of Respondents: 50; Total Annual Responses: 
132; Total Annual Hours: 7,930.
    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 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Brenda Aguilar, Desk 
Officer, New Executive Office Building, Room 10235, Washington, DC 
20503.

    Dated: May 2, 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.
[FR Doc. 02-12241 Filed 5-15-02; 8:45 am]
BILLING CODE 4120-03-P