[Federal Register Volume 67, Number 169 (Friday, August 30, 2002)]
[Notices]
[Page 55849]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-22147]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services.

[Document Identifier: CMS-2567]


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: Statement of 
Deficiencies and Plan of Correction and Supporting Regulations in 42 
CFR 488.18, 488.26, and 488.28; Form No.: HCFA-2567 (OMB 0938-
0391); Use: This Paperwork package provides information regarding the 
form used by the Medicare, Medicaid, and the Clinical Laboratory 
Improvement Amendments (CLIA) programs to document a health care 
facility's compliance or noncompliance (deficiencies) with regard to 
the Medicare/Medicaid Conditions of Participation and Coverage, the 
requirements for participation for Skilled Nursing Facilities and 
Nursing Facilities, and for certification under CLIA. This form becomes 
the basis for both public disclosure of information and CMS 
certification decisions (including termination or denial of 
participation); Frequency: Biennially and Annually; Affected Public: 
Business or other for-profit, Not-for-profit institutions, Federal 
Government, and State, Local or Tribal Government; Number of 
Respondents: 60,000; Total Annual Responses: 60,000; Total Annual 
Hours: 120,000.
    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 Strategic 
Operations and Regulatory Affairs, Division of Regulations Development 
and Issuances, Attention: Julie Brown, CMS-2567, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 22, 2002.
John P. Burke, III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, 
Office of Strategic Operations and Strategic Affairs, Division of 
Regulations Development and Issuances.
[FR Doc. 02-22147 Filed 8-29-02; 8:45 am]
BILLING CODE 4120-03-P