[Federal Register Volume 65, Number 195 (Friday, October 6, 2000)]
[Notices]
[Page 59857]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-25761]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-10011]


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: Stages of Change Survey for 
Informed Choice in the Medicare Population;
    Form No.: HCFA-10011 (OMB# 0938-NEW);
    Use: This is a survey of Medicare beneficiaries in the first step 
in the application the Transtheoretical Model (the ``stage model'') to 
informed choice in the Medicare population. The Transtheoretical Model 
has been applied and proven effective in facilitating behavior change 
in a wide range of health behaviors including smoking cessation, 
mammography screening, and safe sex. This work will yield 
psychometrically sound and externally valid measures of beneficiaries' 
readiness to make informed choices about health plans, and provide 
information to HCFA to assist with its national educational campaign to 
inform beneficiaries about their choices. Stages of Change measures 
will be administered to 560 Medicare beneficiaries and initial 
enrollees. This survey research will yield psychometrically sound 
measures of beneficiaries' readiness to make informed choices about 
health plans, and provide information to guide HCFA's National Medicare 
Education Program (NMEP);
    Frequency: Other: One-time survey;
    Affected Public: Individuals or Households;
    Number of Respondents: 560;
    Total Annual Responses: 560;
    Total Annual Hours: 327.
    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: Melissa Musotto, HCFA-10011, Room N2-
14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: September 26, 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. 00-25761 Filed 10-5-00; 8:45 am]
BILLING CODE 4120-03-P