[Federal Register Volume 67, Number 135 (Monday, July 15, 2002)]
[Notices]
[Pages 46524-46525]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-17708]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-137]


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: Internal Revenue 
Service/Social Security Administration/Health Care Financing 
Administration Data Match and Supporting Regulations in 42 CFR 411.20-
411.206; Form No.: CMS-R-137; Use: Employers who are identified through 
a match of IRS, SSA, and Medicare records will be contacted concerning 
group health plan coverage of identified individuals to ensure 
compliance with Medicare Secondary Payer provisions found at 42 U.S.C. 
1395y(b). Frequency: Annually Affected Public: Federal Government, 
business or other for profit, not for profit institutions, Farms, 
Federal Government and State, Local or Tribal Government; Number of 
Respondents: 327,947; Total Annual Responses: 327,947; Total Annual 
Hours Requested: 1,096,466.
    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-
R-137, Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.


[[Page 46525]]


    Dated: July 2, 2002.
Julie Brown,
Acting, 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. 02-17708 Filed 7-12-02; 8:45 am]
BILLING CODE 4120-03-P