[Federal Register Volume 64, Number 211 (Tuesday, November 2, 1999)]
[Notices]
[Page 59184]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-28633]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-R-291]
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: Multi-State Evaluation of Dual
Eligibles Demonstrations; Wisconsin Partnership Program;
Form No.: HCFA-R-291 (OMB# 0938-NEW);
Use: This survey provides information needed to evaluate dual
eligible demonstrations on issues of satisfaction and gathers health
and functional status to be used in other analyses. Dual eligible
demonstrations are designed to create alternative delivery services for
acute and long-term care services to elderly and disabled persons which
provide increased coordination, improve access to quality services and
control or more appropriately allocate future costs. Respondents to the
survey include demonstration enrollees both living in the community and
in institutions, their families, disenrollees and corresponding
comparison groups. Information collected will pertain to description of
the person, information regarding enrollment/disenrollment, quality of
life, satisfaction, general health, functional status, access to
services, and informal care giving. This data will be combined with
secondary data on utilization of services to analyze the coordination
of care, utilization, outcomes, and cost of providing services;
Frequency: Other: One-time;
Affected Public: Individuals or Households;
Number of Respondents: 5,945;
Total Annual Responses: 5,945;
Total Annual Hours: 3,830.
To obtain copies of the supporting statement 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 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, DC 20503.
Dated: October 5, 1999.
John Parmigiani,
Manager, HCFA, Office of Information Services, Security and Standards
Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-28633 Filed 11-1-99; 8:45 am]
BILLING CODE 4120-03-M
