62064 Federal Register / Vol. 62, No. 224 / Thursday, November 20, 1997 / Notices

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: New Collection; Title of

Information Collection: End Stage Renal

Disease (ESRD) Managed Care

Demonstration Evaluation; Form No.:

HCFA–R–219; Use: This demonstration

is congressionally mandated under the

Social Health Maintenance Organization

(SHMO) requirements. This evaluation

will demonstrate the effectiveness of

integrating acute and chronic care

patients with ESRD through expanded

community care case management

services, using innovative approaches to

financing methodologies and benefit

design. Frequency: Other 0,12, and 30

months; Affected Public: Business or

other for-profit, Individuals or

Households; Number of Respondents:

5,365; Total Annual Responses: 5,365;

Total Annual Hours: 4,431.

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 60 days of this notice directly to

the HCFA Paperwork Clearance Officer

designated at the following address:

HCFA, Office of Information Services,

nformation Technology Investment

Management Group, Division of HCFA

Enterprise Standards, Attention: John

Rudolph, Room C2–26–17, 7500

Security Boulevard, Baltimore,

Maryland 21244–1850.

Dated: November 12, 1997.

John P. Burke III,

HCFA Reports Clearance Officer, Division of

HCFA Enterprise Standards, Health Care

Financing Administration.

[FR Doc. 97–30471 Filed 11–19–97; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–64]

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: Reinstatement, without change,

of a previously approved collection for

which approval has expired; Title of

Information Collection: Quarterly

Medicaid Statement of Expenditures for

the Medical Assistance Program; Form

No.: HCFA–64; Use: This form is used

by State Medicaid agencies to report

their actual program benefit costs and

administrative expenses to the Health

Care Financing Administration (HCFA).

HCFA uses this information to compute

the Federal financial participation (FFP)

for the State’s Medicaid Program costs.

Frequency: Quarterly; Affected Public:

State, Local or Tribal Government;

Number of Respondents: 56; Total

Annual Responses: 224; Total Annual

Hours: 11,984.

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 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: November 14, 1997.

John P. Burke III,

HCFA Reports Clearance Officer, Division of

HCFA Enterprise Standards, Health Care

Financing Administration.

[FR Doc. 97–30530 Filed 11–19–97; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–316]

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: Reinstatement without change

of a previously approved collection for

which approval has expired; Title of

Information Collection: Medicaid,

Integrated Quality Control Review

Worksheet and Supporting Regulations

42 CFR 431.800, 42 CFR 431.865; Form

No.: HCFA–316 OMB # 0938–0094; Use:

States use the Integrated Quality Control

Review Worksheet to collect quality

control (QC) data captured during the

course of all Federally required State QC

reviews of Food Stamp (FS) and

Medicaid programs. The integrated

worksheet is designed to be flexible for

use in fully integrated, partially

integrated, or separate QC program

reviews. The primary objective of the

QC system is to measure, identify, and