[Federal Register Volume 63, Number 5 (Thursday, January 8, 1998)]
[Notices]
[Page 1115]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-384]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-R-212]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
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, has
submitted to the Office of Management and Budget (OMB) the following
proposal for the collection of information. Interested persons are
invited to send comments regarding the 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: New Collection; Title of
Information Collection: Survey of Primary Care givers for the District
of Columbia's Managed Care Demonstration for Disabled and Special Needs
Children and Supporting Statute Section 1115(a) of the Social Security
Act; Form No.: HCFA-R-212; Use: This survey will collect information
from primary Care givers of Disabled and Special Needs Children about
household composition, access to care, health status, functional
status, home care, family care giving burden, satisfaction, and out-of-
pocket expenditures on disabled and special needs children living in
the District of Columbia who are enrolled in the Supplemental Security
Income (SSI) program. This instrument is designed to support a series
of analytic studies, which will eventually provide HCFA, Assistant
Secretary of Planning and Evaluation (ASPE), and States with
information to consider when developing managed care systems for
disabled and special needs children. Frequency: Semi-Annually; Affected
Public: Individuals or Households; Number of Respondents: 1,789; Total
Annual Responses: 3,578; Total Annual Hours: 2,900.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, or any related forms, E-mail
your request, including your address and phone number, 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 designated at the following address: OMB Human
Resources and Housing Branch, Attention: Allison Eydt, New Executive
Office Building, Room 10235, Washington, D.C. 20503.
Dated: December 30, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services,
Information Technology Investment Management Group, Division of HCFA
Enterprise Standards.
[FR Doc. 98-384 Filed 1-7-98; 8:45 am]
BILLING CODE 4120-03-P
