[Federal Register Volume 62, Number 162 (Thursday, August 21, 1997)]
[Notices]
[Page 44478]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-22124]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-R-94]


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 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: Extension of a currently 
approved collection; Title of Information Collection: Medicaid 
Sterilization Regulations 45 CFR 96.73, 42 CFR 441 subpart F and 
Consent Form; Form No.: HCFA-R-94; Use: All Medicaid-eligible 
individuals seeking sterilization are required to sign the federally 
mandated consent form, acknowledging that they understand the benefits 
and risks of sterilization, and have received oral information 
concerning the sterilization operation from the provider. Frequency: 
Other (each time sterilization is sought); Affected Public: Individuals 
or Households; Number of Respondents: 112,526; Total Annual Responses: 
112,526; Total Annual Hours: 140,658.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, or to obtain the supporting 
statement and any related forms, E-mail your request, including your 
address and phone number, to P<a href="/cdn-cgi/l/email-protection#0160716473766e736a41696267602f666e77"><span class="__cf_email__" data-cfemail="1475647166637b667f547c7772753a737b62">[email protected]</span></a>, 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, Information Technology Investment Management 
Group, Division of HCFA Enterprise Standards, Attention: John Rudolph, 
Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 11, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards, 
Health Care Financing Administration.
[FR Doc. 97-22124 Filed 8-20-97; 8:45 am]
BILLING CODE 4120-03-U


</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>