[Federal Register Volume 66, Number 124 (Wednesday, June 27, 2001)]
[Notices]
[Pages 34222-34223]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-16140]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[HCFA-102/105]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, HHS.
    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 this 
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

[[Page 34223]]

minimize the information collection burden.
    Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: CLIA Budget 
Workload Reports and Supporting Regulations in 42 CFR 493.1-.2001; Form 
No.: HCFA-102/105 (OMB#0938-0599); Use: This information will be used 
by HCFA to determine the amount of Federal reimbursement for compliance 
surveys. In addition, the HCFA 102/105 is used for program evaluation, 
budget formulation and budget approval.; Frequency: Quarterly and 
Annually; Affected Public: State, local or tribal government; Number of 
Respondents: 50; Total Annual Responses: 50; Total Annual Hours: 4,500.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access HCFA's 
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail 
your request, including your address, phone number, OMB number, and 
HCFA document identifier, to <a href="/cdn-cgi/l/email-protection#4d1d2c3d283f3a223f260d252e2b2c632a223b"><span class="__cf_email__" data-cfemail="c090a1b0a5b2b7afb2ab80a8a3a6a1eea7afb6">[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: Julie Brown, HCFA-102/105,Room 
N2-14-26,7500 Security BoulevardBaltimore, Maryland 21244-1850.

    Dated: June 18, 2001.
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. 01-16140 Filed 6-26-01; 8:45 am]
BILLING CODE 4120-03-P


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