[Federal Register Volume 66, Number 57 (Friday, March 23, 2001)]
[Notices]
[Pages 16268-16269]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-7189]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-10018]


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

[[Page 16269]]

(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: Survey of Medicaid Home and 
Community-Based Services Waiver and Personal Care Option Recipients for 
the Multi-Site Study of Medicaid Home and Community-Based Services.
    Form No.: HCFA-10018 (OMB#0938-NEW).
    Use: Information collected will pertain to a description of the 
person, information regarding service use, unmet need for HCBS, quality 
of life, satisfaction with services, general health and functional 
status, care management and consumer direction. These data will be 
combined with secondary data on utilization of health care services to 
analyze the coordination of care; utilization; outcomes; and cost of 
providing services.
    Frequency: One Time.
    Affected Public: Individuals or Households.
    Number of Respondents: 4,800.
    Total Annual Responses: 4,800.
    Total Annual Hours: 3,200.
    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: January 25, 2001.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 01-7189 Filed 3-22-01; 8:45 am]
BILLING CODE 4120-03-P