[Federal Register Volume 65, Number 71 (Wednesday, April 12, 2000)]
[Notices]
[Pages 19782-19783]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-9018]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-314]


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 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

[[Page 19783]]

minimize the information collection burden.
    Type of Information Collection Request: New Collection;
    Title of Information Collection: Medicare+Choice Beneficiary 
Notices, Volume 1 and Supporting Regulations in 42 CFR 422.60;
    Form No.: HCFA-R-314 (OMB# 0938-NEW);
    Use: HCFA is requesting approval of 5 Medicare+Choice (M+C) 
election notices that M+C organizations will be required to send to 
Medicare beneficiaries who submit applications for enrollment. The 
notices will be used to inform Medicare beneficiaries of the status and 
outcome of an application to enroll in a M+C organization. All M+C 
organizations will be required to use the language in these notices, 
but may print the notices on their business letterhead. Neither HCFA 
nor the M+C organizations will use such notices to collect and analyze 
data on beneficiary M+C enrollment. They are for information purposes 
only.;
    Frequency: On occasion, One time only;
    Affected Public: Business or other for-profit, and Individuals or 
Households;
    Number of Respondents: 2,853,347;
    Total Annual Responses: 2,853,347;
    Total Annual Hours: 109,314.
    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 [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: March 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. 00-9018 Filed 4-11-00; 8:45 am]
BILLING CODE 4120-03-P