[Federal Register Volume 65, Number 127 (Friday, June 30, 2000)]
[Notices]
[Page 40670]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-16598]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-317]


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: Evaluation of Qualified Medicare 
Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB) 
Outreach Activities.
    Form No.: HCFA-R-317 (OMB# 0938-NEW).
    Use: State Medicaid and other State agencies that assist the 
Medicare population will be queried regarding specific outreach 
activities to Medicare beneficiaries that qualify for QMB-only and 
SLMB-only benefits. With this information, the effectiveness of 
specific outreach activities can then be evaluated. The results of the 
evaluation can be used to identify those outreach activities that are 
most cost effective. For effective outreach activities, the results can 
also be used to determine optimal levels of outreach efforts (e.g., 
expenditures).
    Frequency: Annually.
    Affected Public: State, Local or Tribal Government.
    Number of Respondents: 51.
    Total Annual Responses: 51.
    Total Annual Hours: 102.
    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: June 12, 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. 00-16598 Filed 6-29-00; 8:45 am]
BILLING CODE 4120-03-P