Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-416]

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

AGENCY: Health Care Financing Administration, DHHS. In compliance with

the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act

of 1995, 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 Early and

Periodic Screening, Diagnostic, and Treatment Services (EPSDT)

Participation Report and Supporting Regulations in 42 CFR 441.60; Form

No.: HCFA-416 (OMB# 0938-0354); Use: States are required to submit an

annual report on the provision of EPSDT services to HCFA pursuant to

section 1902(a)(43) of the Social Security Act. These reports provide

HCFA with data necessary to assess the effectiveness of State EPSDT

programs. It is also helpful in developing trend patterns, national

projections, responding to inquiries, and determining a State's results

in achieving its participation goal.; Frequency: Annually; Affected

Public: State, Local or Tribal Government; Number of Respondents: 56;

Total Annual Responses: 56; Total Annual Hours: 1,568.

To obtain copies of the supporting statement and any related forms

for the proposed paperwork collections referenced above, access HCFA'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 P[email protected], 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: Allison Eydt, New

Executive Office Building, Room 10235, Washington, D.C. 20503.

Dated: February 2, 1999.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA Office of Information Services,

Security and Standards Group, Division of HCFA Enterprise Standards.

[FR Doc. 99-3395 Filed 2-10-99; 8:45 am]

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