[Federal Register Volume 67, Number 28 (Monday, February 11, 2002)]
[Notices]
[Page 6264]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-3252]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10051]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare and Medicaid Services, HHS.
    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) (formerly known as 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: Evaluation of the MassHealth Insurance 
Partnership; Form No.: CMS-10051 (OMB# 0938-NEW); Use: This collection 
will be used to evaluate the Massachusetts' 1115 Waiver Demonstration, 
including Insurance Partnership program, offering subsidies to small 
employers to encourage them to offer health insurance coverage to 
employees. The purpose of the survey is to determine the factors 
influencing an employer's decision to participate or not, in the IP 
program and their respective characteristics.; Frequency: Other: One-
time; Affected Public: Business or other for-profit, Not-for-profit 
institutions, and Farms; Number of Respondents: 2,016; Total Annual 
Responses: 2,016; Total Annual Hours: 336.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site address at http://www.hcfa.gov/regs/prdact95.htm, or E-mail 
your request, including your address, phone number, OMB number, and CMS 
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 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Brenda Aguilar, New 
Executive Office Building, Room 10235, Washington, D.C. 20503.

    Dated: January 8, 2002.
Dawn M. Willinghan,
Acting, CMS Reports Clearance Officer, CMS Office of Information 
Services, Security and Standards Group, Division of CMS Enterprise 
Standards.
[FR Doc. 02-3252 Filed 2-8-02; 8:45 am]
BILLING CODE 4120-03-P