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

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Centers for Medicare and 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 Start Printed Page 58690following 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: Request for Reconsideration of Part A Medicare Claims and Supporting Regulations in 42 CFR, 405.711.

Form No.: CMS-2649 (OMB# 0938-0045).

Use: Section 1869 of the Social Security Act authorizes a hearing for any individual who is dissatisfied with the intermediary's determination or amount of benefit paid. This form is used so that a party may request a reconsideration of the initial determination.

Frequency: Monthly, Quarterly, Annually.

Affected Public: Individuals or Households and Not-for-profit institutions.

Number of Respondents: 60,000.

Total Annual Responses: 60,000.

Total Annual Hours: 15,000.

2. Type of Information Collection Request: Extension of a currently approved collection.

Title of Information Collection: Employee Building Pass Application and File.

Form No.: CMS-730 & CMS-80 (OMB# 0938-0812).

Use: The purpose of this system is to control United States Government Building Passes issued to all Centers for Medicare & Medicaid Services (CMS) employees and non-CMS employees who require continuous access to CMS buildings in Baltimore and other CMS and HHS Buildings.

Frequency: As needed.

Affected Public: Federal Government and Business or other for-profit.

Number of Respondents: 2000.

Total Annual Responses: 2000.

Total Annual Hours: 500.

To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS Web site address at​regulations/​pra/​default.asp, or E-mail your request, including your address, phone number, OMB number, and CMS document identifier, to, 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: Brenda Aguilar, New Executive Office Building, Room 10235, Washington, DC 20503.

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Dated: October 2, 2003.

Dawn Willinghan,

CMS Reports Clearance Officer, Office of Strategic Operations and Strategic Affairs, Division of Regulations Development and Issuances.

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[FR Doc. 03-25765 Filed 10-9-03; 8:45 am]