[Federal Register Volume 65, Number 127 (Friday, June 30, 2000)]
[Notices]
[Pages 40668-40669]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-16594]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-295]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    In compliance with the requirement of section 3506(c)(2)(A) of the

[[Page 40669]]

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: Revision of a currently 
approved collection.
    Title of Information Collection: Medicare CAHPS Disenrollment 
Survey.
    Form No.: HCFA-R-295 (OMB# 0938-0779).
    Use: This survey is used to collect information from Medicare 
beneficiaries who have disenrolled from their health plans during the 
past year. The purpose of this information is to obtain their ratings 
of their former plans and the reasons why they left. The survey results 
will be reported to all beneficiaries in print and on the Internet for 
the purpose of informed choices. Secondary uses of survey results 
include quality improvement and contract oversight.
    Frequency: Quarterly, Annually.
    Affected Public: Individuals or Households.
    Number of Respondents: 112,800.
    Total Annual Responses: 90,240.
    Total Annual Hours: 39,744.
    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 30, 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. 00-16594 Filed 6-29-00; 8:45 am]
BILLING CODE 4120-03-M