[Federal Register Volume 68, Number 168 (Friday, August 29, 2003)]
[Notices]
[Pages 52042-52043]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-22077]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-372]


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: Annual Report on 
Home and Community Based Services Waivers and Supporting Regulations in 
42 CFR 440.180 and 441.300-.310; Form No.: CMS-372 (OMB 0938-
0272); Use: States request waivers in order for beneficiaries to have 
the option of receiving hospital services in their homes. States with 
an approved waiver under section 1915(c) of the Act are required to 
submit the CMS-372 or CMS-372(S) annually in order for CMS to: (1) 
Verify that State assurances regarding waiver-cost-neutrality are met, 
and (2) determine the waiver's impact on the type, amount and cost of 
services provided under the State plan and health and welfare of 
recipients; Frequency: Annually; Affected Public: State, local or 
tribal government; Number of Respondents; 50; Total Annual Responses: 
277; Total Annual Hours: 20,775. 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:/

[[Page 52043]]

/cms.hhs.gov/regulations/pra/default.asp, 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: Dawn Willinghan, Room CS-14-03, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: August 21, 2003.
Dawn Willinghan,
Acting, CMS Reports Clearance Officer, Office of Strategic Operations 
and Strategic Affairs, Division of Regulations Development and 
Issuances.
[FR Doc. 03-22077 Filed 8-28-03; 8:45 am]
BILLING CODE 4120-03-M