[Federal Register Volume 66, Number 77 (Friday, April 20, 2001)]
[Notices]
[Page 20314]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-9777]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-10038]


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: 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--
Mental Retardation/Developmental Disabilities (MR/DD);
    Form No.: HCFA-10038 (OMB# 0938-New);
    Use: The purpose of this collection is to request OMB authorization 
to collect information to be used in a study based on participants in 
Medicaid home and community-based services programs. 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 (the Medicaid Statistical Information System) on 
utilization of health care services to analyze the coordination of 
care; utilization; outcomes; and cost of providing services. Although 
this study will address programs serving individuals with mental 
retardation or a developmental disability (MR/DD) and programs serving 
aged and younger adults with disabilities (A/D), this OMB clearance 
request covers only the survey data collection for the MR/DD 
population. The A/D population survey is being cleared separately;
    Frequency: Other: One-time only;
    Affected Public: Individuals or Households, Federal Government, and 
State, Local, or Tribal Government;
    Number of Respondents: 6,300;
    Total Annual Responses: 6,300;
    Total Annual Hours: 2,415.
    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-10038, Room N2-
14-26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: April 11, 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. 01-9777 Filed 4-19-01; 8:45 am]
BILLING CODE 4120-03-P