[Federal Register Volume 65, Number 47 (Thursday, March 9, 2000)]
[Notices]
[Pages 12556-12557]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-5703]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-205/Supplement]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Health Care Financing Administration, HHS.
    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

[[Page 12557]]

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: Individual Market-Guarantee Issue Election 
Packet, and Supporting Regulations in 45 CFR 148, and Forms/
Instructions; Form No.: HCFA-R-205/Supplement (OMB #0938-NEW); Use: 
This collection is a Supplement of the existing collection for 
``Information Collection Requirements Referenced in HIPAA for the 
Individual Market, Supporting Regulations in 45 CFR 148, and forms/
instructions (OMB 0938-0703). This supplement is intended to simplify 
the filing obligations of issuers who participate in the individual 
market of more than one direct enforcement state. A direct enforcement 
state is a state in which HCFA has the responsibility to enforce the 
requirements of HIPAA. This supplement allows the issuer to submit the 
requested information for multiple states at one time, rather than 
having to complete a separate transmittal form for each state; 
Frequency: On occasion; Affected Public: Business or other for-profit, 
Individuals or Households, Not-for-profit institutions, Federal 
Government, and State, Local or Tribal Government; Number of 
Respondents: 15; Total Annual Responses: 150; Total Annual Hours: 566.
    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 P[email protected], 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: February 29, 2000.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 00-5703 Filed 3-8-00; 8:45 am]
BILLING CODE 4120-03-P