[Federal Register Volume 68, Number 173 (Monday, September 8, 2003)]
[Notices]
[Page 52948]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-22694]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10005]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (CMS)), 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 Request: Extension of a currently approved 
collection; Title of Information Collection: Ticket to Work and Work 
Incentives: Medicaid Infrastructure Grants; Form Number: CMS-10005 (OMB 
approval : 0938-0811); Use: Section 203 of the Ticket to Work 
and Work Incentives Act of 1999 provides for the establishment of a 
grants program for states that build infrastructures designed to 
support people with disabilities. State agencies have applied for these 
grants and will be submitting ``continuation applications'' for these 
grants; Frequency: Annually; Affected Public: State, local or tribal 
govt.; Number of Respondents: 40; Total Annual Responses: 40; Total 
Annual Burden Hours: 2,000.
    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://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 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Brenda Aguilar, New 
Executive Office Building, Room 10235, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: August 28, 2003.
Dawn Willinghan,
Acting, Paperwork Reduction Act Team Leader, CMS Reports Clearance 
Officer, Office of Strategic Operations and Strategic Affairs, Division 
of Regulations Development and Issuances.
[FR Doc. 03-22694 Filed 9-5-03; 8:45 am]
BILLING CODE 4120-03-P