[Federal Register: June 25, 2004 (Volume 69, Number 122)]
[Notices]
[Page 35633-35634]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25jn04-90]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-290 and CMS-R-308]
Agency Information Collection Activities: Submission for OMB
Review; 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 & 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.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare Program:
Process for Making National Coverage Determinations; Form No.: CMS-R-
290 (OMB 0938-0776); Use: These information collection
requirements provide the process CMS uses to make a national coverage
decision for a specific item or service under sections 1862 and 1871 of
the Social Security Act. This streamlines our decision making process
and increases the opportunities for public participation in making
national coverage decisions.; Frequency: Other: as needed; Affected
Public: Business or other for-profit, Not-for-profit
[[Page 35634]]
institutions; Number of Respondents: 200; Total Annual Responses: 200;
Total Annual Hours: 8,000.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: The State
Children's Health Insurance Program and Supporting Regulations in 42
CFR 431.636, 457.50, 457.60, 457.70,457.340, 457.350, 457.431, 457.440,
457.525, 457.560, 457.570, 457.740, 457.750, 457.810, 457.940, 457.945,
457.965, 457.985, 457.1005, 457.1015, and 457.1180; Form No.: CMS-R-308
(OMB 0938-0841); Use: States are required to submit title XXI
plans and amendments for approval by the Secretary pursuant to section
2102 of the Social Security Act in order to receive funds for
initiating and expanding health insurance coverage for uninsured
children. States are also required to submit State expenditure and
statistical reports, annual reports and State evaluations to the
Secretary as outlined in title XXI of the Social Security Act and
furnish assorted notices to recipients; Frequency: Annually; Affected
Public: State, Local, or Tribal Government; Number of Respondents: 426;
Total Annual Responses: 12,629,586; Total Annual Hours: 864,973.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
site address at http://www.cms.hhs.gov/regulations/pra/, 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 30 days of this notice directly to the OMB desk officer: OMB
Human Resources and Housing Branch, Attention: Christopher Martin, New
Executive Office Building, Room 10235, Washington, DC 20503.
Dated: June 18, 2004.
John P. Burke, III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer,
Office of Strategic Operations and Regulatory Affairs, Division of
Regulations Development and Issuances.
[FR Doc. 04-14538 Filed 6-24-04; 8:45 am]
BILLING CODE 4120-03-P