[Federal Register: July 15, 2002 (Volume 67, Number 135)]
[Notices]
[Page 46524-46525]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15jy02-73]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-R-137]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare and Medicaid Services, HHS.
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 known as 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 minimize the information
collection burden.
Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Internal Revenue
Service/Social Security Administration/Health Care Financing
Administration Data Match and Supporting Regulations in 42 CFR 411.20-
411.206; Form No.: CMS-R-137; Use: Employers who are identified through
a match of IRS, SSA, and Medicare records will be contacted concerning
group health plan coverage of identified individuals to ensure
compliance with Medicare Secondary Payer provisions found at 42 U.S.C.
1395y(b). Frequency: Annually Affected Public: Federal Government,
business or other for profit, not for profit institutions, Farms,
Federal Government and State, Local or Tribal Government; Number of
Respondents: 327,947; Total Annual Responses: 327,947; Total Annual
Hours Requested: 1,096,466.
To obtain copies of the supporting statement and any related forms
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, phone number, OMB number, and CMS
document identifier, 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 60 days of this notice directly to the CMS Paperwork Clearance
Officer designated at the following address:
CMS, Office of Information Services, Security and Standards Group,
Division of CMS Enterprise Standards, Attention: Dawn Willinghan, CMS-
R-137, Room N2-14-26, 7500 Security Boulevard, Baltimore, Maryland
21244-1850.
[[Page 46525]]
Dated: July 2, 2002.
Julie Brown,
Acting, Paperwork Reduction Act Team Leader, CMS Reports Clearance
Officer, CMS Office of Information Services, Security and Standards
Group, Division of CMS Enterprise Standards.
[FR Doc. 02-17708 Filed 7-12-02; 8:45 am]
BILLING CODE 4120-03-P