[Federal Register Volume 67, Number 199 (Tuesday, October 15, 2002)]
[Notices]
[Page 63662]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-26182]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Agency Information Collection Activities; Proposed Collections; 
Comment Request

    The Department of Health and Human Services, Office of the 
Secretary will periodically publish summaries of proposed information 
collections projects and solicit public comments in compliance with the 
requirements of Section 3506(c)(2)(A) of the Paperwork Reduction Act of 
1995. To request more information on the project or to obtain a copy of 
the information collection plans and instruments, call the OS Reports 
Clearance Office at (202) 619-2118 or e-mail [email protected].
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility and clarity of the information to be collected; and (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.
    Proposed Project 1. ``Request for Review of Medicare Hearing 
Decision/Order''--NEW--The Departmental Appeals Board (DAB) proposes to 
discontinue use of the existing SSA form HA-520 and establish a new HHS 
form to obtain information relevant to Medicare appeals. The HA-520 was 
originally developed by the Social Security Administration (SSA) for 
use in requesting review of Administrative Law Judges (ALJs) actions in 
both Social Security and Medicare cases. After SSA became an 
independent agency, SSA regulations beginning at 20 CFR 404.967 
governing review of cases by the SSA Appeals Council were adopted by 
HHS to govern the DAB's review of ALJ decisions in Medicare cases. We 
are now establishing a new form which reflects the changed 
responsibilities of HHS, and includes the proper address for submission 
of requests for review of ALJ actions in Medicare cases. Revision of 
the form would allow for the collection of accurate information to 
facilitate sending these requests directly to the appropriate HHS 
office for processing and review. Respondents: Individuals; Number of 
Respondents: 1,000; Average Burden per Response: 15 minutes; Total 
Burden: 250 hours.
    Send comments via e-mail to [email protected] or mail to OS 
Reports Clearance Office, Room 503H, Hubert H. Humphrey Building, 200 
Independence Avenue, SW., Washington, DC 20201. Comments should be 
received within 60 days of this notice.

    Dated: October 7, 2002.
Kerry Weems,
Deputy Assistant Secretary, Budget.
[FR Doc. 02-26182 Filed 10-11-02; 8:45 am]
BILLING CODE 4150-23-M