[Federal Register Volume 66, Number 169 (Thursday, August 30, 2001)]
[Notices]
[Page 45860]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-21942]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10043]


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 Centers for Medicare and Medicaid 
Services (CMS), 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 
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 BadgerCare Medicaid 
Demonstration; Form No.: CMS-10043 (OMB# 0938-NEW); Use: The subject 
surveys are components of the CMS evaluation of the Wisconsin 
BadgerCare Section 1115 Medicaid demonstration and Title XXI (SCHIP) 
program. The goals of the evaluation are to assess the effectiveness of 
BadgerCare in reducing the number of Wisconsin residents who lack 
health insurance, increasing participation of eligible children in the 
SCHIP program, and supporting families making transitions from welfare 
to work. Other specific features of BadgerCare will be examined as 
well, including the State's outreach efforts and policy of charging 
premiums to selected families. Findings from the study will help to 
inform CMS policy regarding Medicaid demonstrations and SCHIP, and will 
help states in designing similar health insurance programs; Frequency: 
Other: One time; Affected Public: Individuals or Households; Number of 
Respondents: 5,680; Total Annual Responses: 5,680; Total Annual Hours: 
1,914.
    To obtain copies of the supporting statement for the proposed 
paperwork collections referenced above, access CMS'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: August 14, 2001.
John P. Burke III,
CMS Reports Clearance Officer, CMS, Office of Information Services, 
Security and Standards Group, Division of CMS Enterprise Standards.
[FR Doc. 01-21942 Filed 8-29-01; 8:45 am]
BILLING CODE 4120-03-P