[Federal Register Volume 68, Number 177 (Friday, September 12, 2003)]
[Notices]
[Page 53742]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-23214]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[CMS-1515/1572]


Agency Information Collection Activities: Submission for OMB 
Review; 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: Home Health 
Agency Survey and Deficiencies Report, Home Health Functional 
Assessment Instrument and Supporting Regulations in 42 CFR 488.26 and 
442.30; Form No.: CMS-1515/1572 (OMB 0938-0355); Use: In order 
to participate in the Medicare program as a Home Health Agency (HHA) 
provider, the HHA must meet Federal Standards. These forms are used to 
record information about patients' health and provider compliance with 
requirements; Frequency: Annually; Affected Public: Business or other 
for-profit, Not-for-profit institutions, Individuals or households; 
Number of Respondents: 24,150; Total Annual Responses: 24,150; Total 
Annual Hours: 3,864.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS 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.

    Dated: September 5, 2003.
Julie Brown,
CMS Reports Clearance Officer, Office of Strategic Operations and 
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 03-23214 Filed 9-11-03; 8:45 am]
BILLING CODE 4120-03-P