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

###### Health Care Financing Administration

          - [Docket No. HCFA-10005]

# 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 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 Request:*                         New collection:                         *Title of Information Collection:*                         Ticket to work and Work Incentives: Medicaid Infrastructure Grants;                         *HCFA Form Number:*                         HCFA-1005 (OMB approval #: 0938-NEW);                         *Use:*                         Section 203 of the ticket to work and Work Incentives Act of 1999 provides for the establishment of a grants program for states that build infrastructures designed to support people with disabilities. State agencies will be applying for these grants;                         *Frequency:*                         Annually;                         *Affected Public:*                         State, local or tribal govt.;                         *Number of Respondents:*                        56;                         *Total Annual Responses:*                        56;                         *Total Annual Burden Hours:*                        5,600.                    

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 NCFA Enterprise Standards, Attention: Julie Brown, Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

Dated: June 15, 2000.

John P. Burke III,

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

[FR Doc. 00-16081  Filed 6-23-00; 8:45 am]

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