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###### Department of Health and Human Services

###### Health Care Financing Administration 

          - [Document Identifier: HCFA-3070] 

# AGENCY:

Health Care Financing Administration. 

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 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:*                         Reinstatement, with change, of a previously approved collection for which approval has expired;                         *Title of Information Collection:*                         Intermediate Care Facility for the Mentally Retarded or Persons with Related Conditions ICF/MR Survey Report Form (3070G-I) and Supporting Regulations at 42 CFR 431.52, 431.151, 435.1009, 440.150, 440.220, 442.1, 442.10-442.16, 442 .30, 442.40, 442.42, 442.100-442.119, 483.400-483.480, 488.332, 488.400, and 498.3-498.5;                         *Form No.:*                         HCFA-3070 (0938-0062);                         *Use:*                         The survey forms are needed to ensure provider compliance. In order to participate in the Medicaid program as an ICF/MR, a providers must meet Federal standards. The survey report form is used to record providers' level of compliance with the individual standard and report it to the Federal government;                         *Frequency:*                         Annually;                         *Affected Public:*                         Business or other for-profit, Not-for-profit institutions;                         *Number of Respondents:*                         6,763;                         *Total Annual Responses:*                         6,763;                         *Total Annual Hours:*                         21,600.                     

To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access HCFA's Web Site address at http://www.hcfa.gov/​regs/​prdact95.htm, or E-mail your request, including your address, phone number, OMB number, and HCFA document 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 60 days of this notice directly to the HCFA Paperwork Clearance Officer designated at the following address: 

HCFA, Office of Information Services, Security and Standards Group, Division of HCFA Enterprise Standards, Attention: Julie Brown, Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. 

Dated: May 25, 2000. 

John P. Burke III, 

Reports Clearance Officer, Security and Standards Group, Division of HCFA Enterprise Standards. 

[FR Doc. 00-13986 Filed 6-2-00; 8:45 am] 

BILLING CODE 4120-03-P