[Federal Register Volume 62, Number 47 (Tuesday, March 11, 1997)]
[Notices]
[Page 11214]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-6063]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA 3070 G-I]


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.
    Type of Information Collection Request: Revision of currently 
approved collection; Title of Information Collection: Intermediate Care 
Facility for the Mentally Retarded or Persons with Related Conditions 
Survey Report Form and Supporting Regulations 42 CFR Sections 431, 435, 
440, 442 and 483, Subpart I; Form No.: HCFA 3070 G-I; Use: The survey 
form and supporting regulations are needed to ensure provider 
compliance. In order to participate in the Medicaid program as an 
Intermediate Care Facility for the Mentally Retarded (ICF/MR), 
providers must meet Federal standards. The survey report form is used 
to record providers' 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, State, Local 
or Tribal Govt.; Number of Respondents: ,7200; Total Annual Responses: 
,7200; Total Annual Hours: 21,600.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access HCFA's WEB SITE ADDRESS 
at http://www.hcfa.gov/regs/prdact95.htm, 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#adccddc8dfdac2dfc6edc5cecbcc83cac2db"><span class="__cf_email__" data-cfemail="5a3b2a3f282d3528311a32393c3b743d352c">[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 30 days of this notice directly to the HCFA Paperwork Clearance 
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: February 28, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-6063 Filed 3-10-97; 8:45 am]
BILLING CODE 4120-03-P


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