[Federal Register Volume 62, Number 57 (Tuesday, March 25, 1997)]
[Notices]
[Pages 14156-14157]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-7468]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[HCFA-1957]


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: Extension of a currently 
approved collection; Title of Information Collection: SSO Report of 
State Buy In Problems, 42 CFR 407.40; Form No.: HCFA-1957; Use: The 
HCFA-1957 is issued to assist with communications between the Social 
Security District Offices, Medicaid State Agencies and HCFA Central 
Offices in the resolution of beneficiary complaints, regarding 
entitlement under state buy-ins. It is used when a problem arises which 
cannot be resolved thru normal

[[Page 14157]]

data exchange. Frequency: On occasion; Affected Public: Individuals or 
Households, and State, Local or Tribal Government; Number of 
Respondents: 22,000; Total Annual Hours: 6,417.
    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#3c5d4c594e4b534e577c545f5a5d125b534a"><span class="__cf_email__" data-cfemail="2445544156534b564f644c4742450a434b52">[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: March 17, 1997.
Edwin J. Glatzel,
Director, Management Analysis and Planning Staff, Office of Financial 
and Human Resources, Health Care Financing Administration.
[FR Doc. 97-7468 Filed 3-24-97; 8:45 am]
BILLING CODE 4120-03-P


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