[Federal Register Volume 67, Number 119 (Thursday, June 20, 2002)]
[Notices]
[Page 42024]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-15529]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-222]


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: Independent Rural 
Health Center/Freestanding Federally Qualified Health Center Cost 
Report and Supporting Regulations in 42 CFR 413.20 and 413.24; Form 
No.: CMS-222 (OMB0938-0107); Use: The independent rural health 
clinic/freestanding federally qualified health center cost report is 
the cost report to be used by the mentioned clinics/centers to submit 
annual information to achieve a settlement of costs for health care 
services rendered to Medicare beneficiaries. Frequency: Annually; 
Affected Public: Not-for-Profit institutions, business or other for-
profit, and State, local or tribal government; Number of Respondents: 
3,000; Total Annual Responses: 3,000; Total Annual Hours Requested: 
150,000. 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: Dawn Willinghan, CMS-222, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: June 12, 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. 02-15529 Filed 6-19-02; 8:45 am]
BILLING CODE 4120-03-P