[Federal Register Volume 65, Number 86 (Wednesday, May 3, 2000)]
[Notices]
[Pages 25737-25738]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-11036]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-310]


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: Health Care Services for Deaf and 
Hard of Hearing Adults--Case Story Forms;
    Form No.: HCFA-R-310 (OMB #0938-NEW);
    Use: The Agency seeks to obtain beneficiary information that helps 
providers (1) better understand situations in which problems may be 
avoided when encountering a hearing-impaired or deaf individual, (2) 
explore how such encounters may affect the delivery of quality care of 
adversely impact health care outcomes, and (3) provide an opportunity 
for hearing-impaired individuals to develop more appropriate health-
seeking behavior, where indicated. This form is to be used by deaf and 
hard of hearing individuals accessing the Delmarva web site who may 
wish to identify experiences receiving health care in the United 
States. The experiences may be either good or bad. Respondents are 
asked to complete a form for each case or experience;
    Frequency: On occasion;
    Affected Public: Individuals or Households;
    Number of Respondents: 100;
    Total Annual Responses: 100;
    Total Annual Hours: 17.

[[Page 25738]]

    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 [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 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, D.C. 20503.

    Dated: April 17, 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. 00-11036 Filed 5-2-00; 8:45 am]
BILLING CODE 4120-03-P