[Federal Register Volume 65, Number 105 (Wednesday, May 31, 2000)]
[Notices]
[Page 34715]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-13544]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

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


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: 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 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, DC 20503.

    Dated: May 8, 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. 00-13544 Filed 5-30-00; 8:45 am]
BILLING CODE 4120-03-P