[Federal Register Volume 67, Number 135 (Monday, July 15, 2002)]
[Notices]
[Page 46524]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-17706]



[[Page 46524]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-29/30]


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 (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: Request for 
Certification as Rural Health Clinic and Rural Health Clinic Survey 
Report Form and Supporting Regulations in 42 CFR 491.1-491.11; Form 
No.: CMS-0029/0030 (OMB 0938-0074); Use: The Form CMS-29 is 
utilized as an application to be completed by suppliers of RHC services 
requesting participation in the Medicare/Medicaid programs. This form 
initiates the process of obtaining a decision as to whether the 
conditions for certification are met as a supplier of RHC services. It 
also promotes data reduction or introduction to and retrieval from the 
Online Survey and Certification and Reporting System (OSCAR) by the CMS 
Regional Offices (RO). The Form CMS-30 is an instrument used by the 
State survey agency to record data collected in order to determine RHC 
compliance with individual conditions of participation and to report it 
to the Federal government. The form is primarily a coding worksheet 
designed to facilitate data reduction (keypunching) and retrieval into 
OSCAR at the CMS ROs. The form includes basic information on compliance 
(i.e., met, not met and explanatory statements) and does not require 
any descriptive information regarding the survey activity itself.; 
Frequency: Annually; Affected Public: State, Local, or Tribal 
Government; Number of Respondents: 661; Total Annual Responses: 661; 
Total Annual Hours: 1,157.
    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 CSM-29/30, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: July 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. 02-17706 Filed 7-12-02; 8:45 am]
BILLING CODE 4120-03-P