[Federal Register Volume 61, Number 188 (Thursday, September 26, 1996)]
[Notices]
[Pages 50492-50493]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-24676]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[HCFA-1957]
Agency Information Collection Activities: Proposed Collection;
Comment Request
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 summary of proposed collection 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: Extension of a currently
approved collection; Title of Information Collection: SSO Report of
State Buy-In Problems, 42 CFR 407.40; Form No.: HCFA-1957; Use: The
HCFA-1957 is issued to assist with communications between the Social
Security District Offices, Medicaid State Agencies and HCFA Central
Offices in the resolution of beneficiary complaints, regarding
entitlement under state buy-ins. It is used when a problem arises which
cannot be resolved through normal data exchange. Frequency: On
occasion; Affected Public: Individuals or Households, State, Local or
Tribal Government; Number of Respondents: 22,000; Total Annual Hours:
6,417.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS
at http://www.hcfa.gov , or to obtain the
[[Page 50493]]
supporting statement and any related forms, E-mail your request,
including your address and phone number, to P[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 HCFA Paperwork Clearance
Officer designated at the following address: HCFA, Office of Financial
and Human Resources, Management Analysis and Planning Staff, Attention:
Louis Blank, Room C2-26-17, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: September 18, 1996.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial
and Human Resources.
[FR Doc. 96-24676 Filed 9-25-96; 8:45 am]
BILLING CODE 4120-03-P