[Federal Register: February 25, 2002 (Volume 67, Number 37)]
[Notices]
[Page 8543]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25fe02-62]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-R-79]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare and Medicaid Services DHHS. 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: Payment Adjustment for Sole
Community Hospitals and Supporting Regulations in 42 CFR, Section
412.92;
Form No.: CMS-R-79 (OMB# 0938-0477);
Use: Hospitals designated ``sole community hospitals'' that
experience a 5 percent decrease in discharges in one cost reporting
period, as compared to the previous period, due to unusual
circumstances beyond its control, may request an adjustment to its
Medicare payment amount;
Frequency: On Occasion;
Affected Public; Not-for-profit institutions, Business or other
for-profit, and State, Local or Tribal Gov.;
Number of Respondents: 40;
Total Annual Responses: 40;
Total Annual Hours: 160.
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, of 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-79, Room N2-14-26, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: February 14, 2002.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of
CMS Enterprise Standards.
[FR Doc. 02-4360 Filed 2-22-02; 8:45 am]
BILLING CODE 4120-03-M