[Federal Register Volume 69, Number 122 (Friday, June 25, 2004)]
[Notices]
[Pages 35633-35634]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-14538]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-290 and CMS-R-308]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & 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 & 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.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare Program: 
Process for Making National Coverage Determinations; Form No.: CMS-R-
290 (OMB 0938-0776); Use: These information collection 
requirements provide the process CMS uses to make a national coverage 
decision for a specific item or service under sections 1862 and 1871 of 
the Social Security Act. This streamlines our decision making process 
and increases the opportunities for public participation in making 
national coverage decisions.; Frequency: Other: as needed; Affected 
Public: Business or other for-profit, Not-for-profit

[[Page 35634]]

institutions; Number of Respondents: 200; Total Annual Responses: 200; 
Total Annual Hours: 8,000.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: The State 
Children's Health Insurance Program and Supporting Regulations in 42 
CFR 431.636, 457.50, 457.60, 457.70,457.340, 457.350, 457.431, 457.440, 
457.525, 457.560, 457.570, 457.740, 457.750, 457.810, 457.940, 457.945, 
457.965, 457.985, 457.1005, 457.1015, and 457.1180; Form No.: CMS-R-308 
(OMB 0938-0841); Use: States are required to submit title XXI 
plans and amendments for approval by the Secretary pursuant to section 
2102 of the Social Security Act in order to receive funds for 
initiating and expanding health insurance coverage for uninsured 
children. States are also required to submit State expenditure and 
statistical reports, annual reports and State evaluations to the 
Secretary as outlined in title XXI of the Social Security Act and 
furnish assorted notices to recipients; Frequency: Annually; Affected 
Public: State, Local, or Tribal Government; Number of Respondents: 426; 
Total Annual Responses: 12,629,586; Total Annual Hours: 864,973.
    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://www.cms.hhs.gov/regulations/pra/, 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: Christopher Martin, New 
Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: June 18, 2004.
John P. Burke, III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, 
Office of Strategic Operations and Regulatory Affairs, Division of 
Regulations Development and Issuances.
[FR Doc. 04-14538 Filed 6-24-04; 8:45 am]
BILLING CODE 4120-03-P