[Federal Register Volume 65, Number 204 (Friday, October 20, 2000)]
[Notices]
[Pages 63080-63081]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-27017]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-10015]


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

[[Page 63081]]

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 do 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-Timer.
    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 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, D.C. 20503.

    Dated: October 11, 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. 00-27017 Filed 10-19-00; 8:45 am]
BILLING CODE 4120-03-M