[Federal Register: August 29, 2003 (Volume 68, Number 168)]
[Notices]
[Page 52042-52043]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr29au03-69]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-372]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare and Medicaid Services.
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: Annual Report on
Home and Community Based Services Waivers and Supporting Regulations in
42 CFR 440.180 and 441.300-.310; Form No.: CMS-372 (OMB 0938-
0272); Use: States request waivers in order for beneficiaries to have
the option of receiving hospital services in their homes. States with
an approved waiver under section 1915(c) of the Act are required to
submit the CMS-372 or CMS-372(S) annually in order for CMS to: (1)
Verify that State assurances regarding waiver-cost-neutrality are met,
and (2) determine the waiver's impact on the type, amount and cost of
services provided under the State plan and health and welfare of
recipients; Frequency: Annually; Affected Public: State, local or
tribal government; Number of Respondents; 50; Total Annual Responses:
277; Total Annual Hours: 20,775. 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:/
[[Page 52043]]
/cms.hhs.gov/regulations/pra/default.asp, or e-mail your request,
including your address, phone number, OMB number, and CMS document
identifier, to Paperwork@hefa.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 Strategic Operations and
Regulatory Affairs, Division of Regulations Development and Issuances,
Attention: Dawn Willinghan, Room CS-14-03, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Dated: August 21, 2003.
Dawn Willinghan,
Acting, CMS Reports Clearance Officer, Office of Strategic Operations
and Strategic Affairs, Division of Regulations Development and
Issuances.
[FR Doc. 03-22077 Filed 8-28-03; 8:45 am]
BILLING CODE 4120-03-M