[Federal Register Volume 69, Number 34 (Friday, February 20, 2004)]
[Notices]
[Page 7962]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-3662]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-118]


Agency Information Collection Activities: Proposed Collection; 
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: Quality 
Improvement (formerly Peer Review) Organization Contracts: Solicitation 
of Statements of Interest from In-State Organizations, General Notice 
and Supporting Regulations in 42 CFR 475.102, 475.103, 475.104, 475.105 
and 475.106; Form No.: CMS-R-118 (OMB 0938-0526); Use: This 
notice is a solicitation of sources for the procurement of medical 
review services. The information is required for potential contractors 
to demonstrate that they meet the statutory requirements as Peer Review 
Organizations (also known as Quality Improvement Organizations). 
Compliance with these requirements is voluntary; Frequency: Other: As 
needed, not recurring; Affected Public: Business or other for-profit; 
Number of Respondents: 53; Total Annual Responses: 53; Total Annual 
Hours: 1. 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 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: Melissa Musotto, Room 
C5-14-03, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: February 12, 2004.
John P. Burke, III,
Paperwork Reduction Act Team Leader, Office of Strategic Operations and 
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 04-3662 Filed 2-19-04; 8:45 am]
BILLING CODE 4120-03-P