[Federal Register: July 30, 2001 (Volume 66, Number 146)]
[Notices]
[Page 39321-39322]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30jy01-47]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-R-231]
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), 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
[[Page 39322]]
(4) the use of automated collection techniques or other forms of
information technology to minimize the information collection burden.
Type of Information Request: Extension of a currently approved
collection; Title of Information Collection: Medicare+Choice (M+C)
Provider Sponsored Organization (PSO) Waiver Request Form and
Supporting Regulations in 42 CFR 422.370-422.378; Form Number: CMS-R-
231 (0938-0722); Use: The PSO waiver request form is for use by PSO's
that do not have a State risk-bearing entity licence and that wish to
enter into a M+C contract with CMS to provide prepaid health care
services to eligible Medicare beneficiaries. CMS will use the
information requested on this form to determine whether the applicant
is eligible for a waiver of the state licensure requirement for M+C
organizations as allowed under section 1855(a)(2) of the Social
Security Act.; Frequency: One-time.; Affected Public: Business or other
for-profit, Not-for-profit institutions, and Federal Government.;
Annual Number of Respondents: 10.; Total Annual Responses: 10.; Total
Annual Hours Requested: 100.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access CMS'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: July 10, 2001.
Julie Brown,
Acting, CMS Reports Clearance Officer, CMS, Office of Information
Services, Security and Standards Group, Division of CMS Enterprise
Standards.
[FR Doc. 01-18846 Filed 7-27-01; 8:45 am]
BILLING CODE 4120-03-P