[Federal Register Volume 65, Number 151 (Friday, August 4, 2000)]
[Notices]
[Page 47995]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-19308]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-10015]


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 minimize the information 
collection burden.
    Type of Information Collection Request: New Collection;
    Title of Information Collection: Evaluation of the Qualified 
Medicare Beneficiary (QMB) and Specified Low-Income Medicare 
Beneficiary (SLMB) Programs--Beneficiary Survey;
    Form No.: HCFA-10015 (OMB #0938-NEW);
    Use: Medicare beneficiaries eligible for the Qualified Medicare 
Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB) 
Programs will be surveyed. Numerous studies have shown that large 
numbers of potentially eligible QMB's and SLMB's do not participate in 
these programs. To further its goals under GPRA, the Health Care 
Financing Administration (HCFA) needs information on the effects of the 
QMB and SLMB programs. This project will help HCFA to develop a better 
understanding of the reasons for the low participation rates among the 
potential eligibles for both programs. Also, it will provide HCFA with 
information on the awareness of the QMB and SLMB programs; the paths 
and barriers to QMB and SLMB enrollment and the benefits of the QMB and 
SLMB coverage;
    Frequency: Other: One-Time;
    Affected Public: Individuals or Households;
    Number of Respondents: 1,500;
    Total Annual Responses: 1,500;
     Total Annual Hours: 500.
    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 (HCFA-10015), Room N2-
14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    July 13, 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. 00-19308 Filed 8-3-00; 8:45 am]
BILLING CODE 4120-03-P