Federal Register / Vol. 62, No. 181 / Thursday, September 18, 1997 / Notices 49017

approved collection; Title of

Information Collection: Managed Care

Organization, Incentive Arrangement

Disclosure Form and Supporting

Regulations 42 CFR 417.479, 417.500,

434.44, 434.67, 434.70, 1003.100,

1003.101, 1003.103, 1003.106; Form

No.: HCFA–R–201 (OMB # 0938–0700)

; Use: These forms were created in an

extensive cooperative effort with the

American Association of Health Plans,

State Medicaid Agency representatives,

and the Medicaid Managed Care

Technical Advisory group to monitor

compliance with federal statute and

supporting regulations, governing

physician incentives under Medicare

and Medicaid managed care

organizations. The currently approved

forms and the revised forms being

submitted to OMB for approval are

available for inspection on the HCFA

web site, on the Internet, at http://

www.hcfa.gov; Frequency: Annually;

Affected Public: Business or other for

profit, not for profit institutions, state,

local or tribal government, and federal

government; Number of Respondents:

450; Total Annual Responses: 450; Total

Annual Hours: 45,000.

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 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 30 days of this notice directly to

the OMB Desk Officer designated at the

following address: OMB Human

Resources and Housing Branch,

Attention: Allison Eydt, New Executive

Office Building, Room 10235,

Washington, D.C. 20503.

Dated: September 10, 1997.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA,

Office of Information Services, Information

Technology Investment Management Group,

Division of HCFA Enterprise Standards.

[FR Doc. 97–24726 Filed 9–17–97; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[HCFA–685, and HCFA–684 A–J]

Agency Information Collection

Activities: Submission for OMB

Review; 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, has submitted to the

Office of Management and Budget

(OMB) the following proposal for the

collection of information. 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.

1. Type of Information Collection

Request: Extension of a currently

approved collection; Title of

Information Collection: End Stage Renal

Disease (ESRD) Network Semi-Annual

Cost Report Forms and Supporting

Regulations 42 CFR 405.2110 and 405.

2112; Form No.: HCFA–685 OMB #

0938–0657; Use: The Semi-annual cost

report enables HCFA to review specific

Network costs, compare costs between

Networks, and project future Network

costs. The reports are also used as an

early warning system to determine if a

Network is in danger of exceeding the

total cost of its contract. Frequency:

Semi-annually; Affected Public: Not-forprofit institutions; Number of

Respondents: 18; Total Annual

Responses: 36; Total Annual Hours:

108.

2. Type of Information Collection

Request: Extension of a currently

approved collection; Title of

Information Collection: End Stage Renal

Disease Network (ESRD) Business

Proposal Forms and Supporting

Regulations 42 CFR 405.2110 and

405.2112; Form No.: HCFA–684 through

684 A-J OMB # 0938–0658; Use: Current

End Stage Renal Disease (ESRD)

Networks and other bidders are required

to submit contract proposals to

participate as a HCFA sanctioned ESRD

Network. The business proposal forms

are used to satisfy HCFA’s need for

consistent, meaningful, and verifiable

data to evaluate contract proposals.

Frequency: Every three years; Affected

Public: Not-for-profit institutions;

Number of Respondents: 18; Total

Annual Responses: 36; Total Annual

Hours: 1,080.

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 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 30 days of this notice directly to

the OMB Desk Officer designated at the

following address: OMB Human

Resources and Housing Branch,

Attention: Allison Eydt, New Executive

Office Building, Room 10235,

Washington, D.C. 20503.

Dated: September 10, 1997.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA,

Office of Information Services, Information

Technology Investment Management Group,

Division of HCFA Enterprise Standards.

[FR Doc. 97–24764 Filed 9–17–97; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Resources and Services

Administration

Agency Information Collection

Activities: Submission for OMB

Review; Comment Request

Periodically, the Health Resources

and Services Administration (HRSA)

publishes abstracts of information

collection requests under review by the

Office of Management and Budget, in

compliance with the Paperwork

Reduction Act of 1995 (44 U.S.C.

Chapter 35). To request a copy of the

clearance requests submitted to OMB for

review, call the HRSA Reports

Clearance Office on (301)–443–1129.

The following request has been

submitted to the Office of Management

and Budget for review under the

Paperwork Reduction Act of 1995:
49018 Federal Register / Vol. 62, No. 181 / Thursday, September 18, 1997 / Notices

Proposed Project: Grantee Reporting

Requirements for the Ryan White

Comprehensive AIDS Resources

Emergency (CARE) Act of 1990, Title III

HIV Early Intervention Services

Program (OMB No. 0915–0158)—

Revision and Extension

Section 2651 of the Public Health

Service (PHS) Act (commonly known as

Title III of the Ryan White

Comprehensive AIDS Resources

Emergency (CARE) Act of 1990),

provides categorical funding to increase

the capacity and capability of

organizations that provide primary

health care to provide HIV-related early

intervention services to medically

underserved persons who have, or are at

high risk for HIV infection. These

services are provided as part of a

continuum of HIV prevention and

health care services.

This clearance request is for extension

of OMB approval of the Title III Program

Data Report form, which is submitted

annually by Title III grant recipients.

The bulk of the information being

collected describes the epidemiologic

and demographic characteristics of the

populations receiving early intervention

services from grant recipients, and

provides the basis for the annual report

to the Secretary, which is legislatively

mandated. It is also used to monitor the

delivery of services, guide federal

policy, and assist in program

development and evaluation. Only

minor revisions to the form are

proposed, including deletion of some

sections found to lack utility, revision of

some data elements and instructions for

clarity, and addition of data elements to

improve the usefulness of the data.

The estimate of burden for the form is

as follows:

Form name Number of respondents

Respondents

per

respondent

Hours per responseTotal burden

hours

Program Data Report Form .............................................................................. 166 1 84 13,944

Written comments and

recommendations concerning the

proposed information collection should

be sent within 30 days of this notice to:

Laura Oliven, Human Resources and

Housing Branch, Office of Management

and Budget, New Executive Office

Building, Room 10235, Washington,

D.C. 20503.

Dated: September 11, 1997.

Jane Harrison,

Acting Director, Division of Policy Review

and Coordination.

[FR Doc. 97–24728 Filed 9–17–97; 8:45 am]

BILLING CODE 4160–15–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Resources and Services

Administration

Agency Information Collection

Activities: Submission for OMB

Review; Comment Request

Periodically, the Health Resources

and Services Administration (HRSA)

publishes abstracts of information

collection requests under review by the

Office of Management and Budget, in

compliance with the Paperwork

Reduction Act of 1995 (44 U.S.C.

Chapter 35). To request a copy of the

clearance requests submitted to OMB for

review, call the HRSA Reports

Clearance Office on (301)–443–1129.

The following request has been

submitted to the Office of Management

and Budget for review under the

Paperwork Reduction Act of 1995:

Proposed Project: The Health Education

Assistance Loan (HEAL) Program

Regulations—42 CFR Part 60—OMB

No. 915–0108—Extension and Revision

This clearance request is for extension

of approval for the notification,

reporting and recordkeeping

requirements in the HEAL program to

insure that the lenders, holders and

schools participating in the HEAL

program follow sound management

procedures in the administration of

federally-insured student loans. While

the regulatory requirements are

approved under this OMB number,

much of the burden associated with the

regulations is cleared under the OMB

numbers for the HEAL forms used to

report required information (listed

below). The table listed at the end of

this notice contains the estimate of

burden for the remaining regulations.

Annual Response Burden for the

following regulations is cleared by OMB

when the reporting forms are cleared:

OMB Approval No. 0915–0034,

Lender’s Application, Borrower Status,

Manifest, Loan Transfer, Contract for

Loan Insurance

Reporting

42 CFR 60.7(c)(3), Employer

certification of nonstudent status

42 CFR 60.31(a), Lender annual

application

42 CFR 60.38(a), Loan reassignment

Notification

42 CFR 60.12(c)(1), Borrower deferment

OMB Approval No. 0915–0036,

Lender’s Application for Insurance

Claim

Reporting

42 CFR 60.35(a)(2), Lender skip-tracing

activities

42 CFR 60.40(a), Lender documentation

to litigate a default

42 CFR 60.40(c)(1)(i),(ii),and (iii),

Lender default claim

42 CFR 60.40(c)(2), Lender death claim

42 CFR 60.40(c)(3), Lender disability

claim

42 CFR 60.40(c)(4), Lender report of

student bankruptcy

OMB Approval No.0915–0038, Student

Application

Reporting

42 CFR 60.7(a)(1)(ii), Student

application

42 CFR 60.7(a)(3), School section of the

application

42 CFR 60.51(a), School section of the

application

Notification

42 CFR 60.7(a)(2), Federal debt

collection policies-student

42 CFR 60.33(c), Creditworthiness of

applicant

OMB Approval No.0915–0043,

Promissory Note, Repayment Schedule,

Call Report

Notification

42 CFR 60.7(c)(2) Federal debt

collection policies—nonstudent

42 CFR 60.11(e), Establishment of

repayment terms—borrower

42 CFR 60.11(f)(5), Borrower notice of

supplemental repayment agreement

42 CFR 60.33(e), Executed note to

borrower