[Federal Register Volume 69, Number 44 (Friday, March 5, 2004)]
[Notices]
[Pages 10454-10455]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-4998]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-724]


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

[[Page 10455]]

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: The Medicare/
Medicaid Psychiatric Hospital Survey Data Contained in 42 CFR and 
supporting regulations in 42 CFR 482.60, 482.61, and 482.62.; Form No.: 
CMS-724 (OMB 0938-0378); Use: The collection of this data will 
assure an accurate data base for program planning and evaluation, and 
survey team composition for surveys of psychiatric hospitals. All 
freestanding psychiatric hospitals surveyed will be required to 
respond.; Frequency: Annually; Affected Public: Federal Government, 
Business or other for-profit, Not-for-profit institutions, and State, 
local and tribal government; Number of Respondents: 200; Total Annual 
Responses: 200; Total Annual Hours: 100.
    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 27, 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. 04-4998 Filed 3-4-04; 8:45 am]
BILLING CODE 4120-03-P