[Federal Register: October 12, 2001 (Volume 66, Number 198)]
[Notices]
[Page 52139]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12oc01-93]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-2746 (formerly HCFA-2746)]
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 Centers for Medicare and Medicaid
Services ((CMS) formerly the Health Care Financing Administration),
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: End Stage Renal
Disease Death Notification; Form No.: CMS-2746 (OMB# 0938-0448); Use:
This form is completed by all Medicare approved ESRD facilities upon
death of an ESRD patient. The forms primary purpose is to collect fact
and cause of death. Reports of deaths are used to show cause of death
and demographic characteristics of these patients.; Frequency: On
occasion; Affected Public: Business or other for-profit; Federal
Gov't., Not-for-profit institutions; Number of Respondents: 4,000;
Total Annual Responses: 56,258; Total Annual Hours: 9,564.
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 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, DC 20503.
Dated: September 27, 2001.
John P. Burke III,
CMS Reports Clearance Officer, CMS, Office of Information Services,
Security and Standards Group, Division of CMS Enterprise Standards.
[FR Doc. 01-25687 Filed 10-11-01; 8:45 am]
BILLING CODE 4120-03-P