[Federal Register Volume 61, Number 35 (Wednesday, February 21, 1996)] [Notices] [Page 6645] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 96-3745] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Care Financing Administration Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Health Care Financing Administration, HHS. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Health Care Financing Administration (HCFA), Department of Health and Human Services, is publishing the following summaries of proposed collections for public comment. Interested persons are invited to send comments regarding the 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: New collection; Title of Information Collection: Federally Qualified Health Center (FQHC) Survey; Form No.: HCFA-R-188; Use: This survey is needed and will be used by HCFA to evaluate the FQHC Medicare benefit. Respondents will be all Medicare certified FQHC's. Frequency: On occasion; Affected Public: Not-for-profit institutions, and business or other for-profit; Number of Respondents: 1,489; Total Annual Responses: 1,489; Total Annual Hours Requested: 496. To request copies of the proposed paperwork collections referenced above, call the Reports Clearance Office on (410) 786-1326. Written comments and recommendations for the proposed information collections should be sent within 60 days of this notice directly to the HCFA Paperwork Clearance Officer designated at the following address: HCFA, Office of Financial and Human Resources, Management Planning and Analysis Staff, Attention: Louis Blank, Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. Dated: February 12, 1996. Kathleen B. Larson, Director, Management Planning and Analysis Staff, Office of Financial and Human Resources. [FR Doc. 96-3745 Filed 2-20-96; 8:45 am] BILLING CODE 4120-03-P