[Federal Register Volume 62, Number 192 (Friday, October 3, 1997)]
[Notices]
[Pages 51873-51874]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-26306]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-R-212]
Agency Information Collection Activities: Proposed Collection;
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, is
publishing the following summary of proposed collections for public
comment. 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 Caregivers 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 caregivers 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
[[Page 51874]]
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 to obtain the supporting
statement and 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 60 days of this notice directly to the HCFA Paperwork Clearance
Officer designated at the following address: HCFA, Office of
Information Services, Information Technology Investment Management
Group, Division of HCFA Enterprise Standards, Attention: John Rudolph,
Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: September 23, 1997.
John P. Burke III,
HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards,
Health Care Financing Administration.
[FR Doc. 97-26306 Filed 10-2-97; 8:45 am]
BILLING CODE 4210-03-P
