[Federal Register Volume 71, Number 222 (Friday, November 17, 2006)]
[Notices]
[Page 66956]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-19431]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-235]


Agency Information Collection Activities: Proposed Collection; 
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) 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: Data Use 
Agreement Information Collection Requirements, Model Language and 
Supporting Regulations in 45 CFR part 5b. Use: The Data Use Agreement 
(DUA) is needed as part of the review of each CMS data request to 
ensure compliance with the requirements of the Privacy Act for 
disclosure of data that contain individually-identifiable information. 
In addition, the DUA is used to maintain appropriate accounting and 
tracking of disclosures of records from Privacy Act systems of records. 
Form Number: CMS-R-235 (OMB: 0938-0734); Frequency: Reporting-
On occasion; Affected Public: Not-for-profit institutions; Number of 
Respondents: 1,500; Total Annual Responses: 1,500; Total Annual Hours: 
750.
    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/PaperworkReductionActof1995, 
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.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received at the address below, 
no later than 5 p.m. on January 16, 2007.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--B, Attention: William N. Parham, 
III, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-
1850.

    Dated: November 7, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-19431 Filed 11-16-06; 8:45 am]
BILLING CODE 4120-01-P