[Federal Register: October 24, 2001 (Volume 66, Number 206)]
[Notices]
[Page 53801]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr24oc01-66]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10048]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & 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:
Health Insurance Flexibility and Accountability Section 1115 Model
Waiver; Form No.: CMS-10048 (OMB# 0938-0848); Use: This Health
Insurance Flexibility and Accountability (HIFA) Section 1115 Model
Demonstration will enable states to use Medicaid and SCHIP funds in
concert with private health insurance options to expand coverage to
low-income uninsured individuals, with a focus on those with income at
or below 200 percent of the Federal poverty level. The model
demonstration application will facilitate State efforts in designing
programs to cover the uninsured; Frequency: Other: 5 years after
initial submission; Affected Public: State, Local or Tribal Government;
Number of Respondents: 25; Total Annual Responses: 25; Total Annual
Hours: 250.
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
HCFA 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: Julie Brown, CMS-10048, Room N2-14-26, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: October 17, 2001.
John P. Burke III,
Reports Clearance Officer, Security and Standards Group, Division of
CMS Enterprise Standards.
[FR Doc. 01-26783 Filed 10-23-01; 8:45 am]
BILLING CODE 4120-03-P