[Federal Register Volume 67, Number 157 (Wednesday, August 14, 2002)]
[Notices]
[Pages 53004-53005]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 02-20521]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-R-138]
Agency Information Collection Activities: Submission for OMB
Review; 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 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: Revision of a currently
approved collection; Title of Information Collection: Medicare
Geographic Classification Review Board (MGCRG) Procedures and Criteria
and Supporting Regulations in 42 CFR, Section 412.256 & 412.230; Form
No.: CMS-R-138 (OMB 0938-0573); Use: This collection sets up
an application process for prospective payment system hospitals who
choose to appeal their geographic status to the Medicare Geographic
Classification Review Board (MGCRB). This also establishes procedural
guidelines for the MGCRB.; Frequency: Annually; Affected Public:
Business or other for-profit, and Not-for-profit institutions; Number
of Respondents: 650; Total Annual Responses: 650; Total Annual Hours:
650.
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.hcfa.gov/regs/prdact95.htm, or E-mail your
request, including your address, phone number, OMB number, and CMS
document
[[Page 53005]]
identifier, to Paperwork@hcfa.gov, 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: August 7, 2002.
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. 02-20521 Filed 8-13-02; 8:45 am]
BILLING CODE 4120-03-P