[Federal Register Volume 64, Number 150 (Thursday, August 5, 1999)]
[Notices]
[Pages 42702-42703]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-20100]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-R-291]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Health Care Financing Administration.
ACTION: Comment request; notice.
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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: 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
[[Page 42703]]
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 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 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, Security and Standards Group, Division of HCFA
Enterprise Standards, Attention: Dawn Willinghan, Room N2-14-26, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: July 29, 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. 99-20100 Filed 8-4-99; 8:45 am]
BILLING CODE 4120-03-P
