[Federal Register Volume 67, Number 207 (Friday, October 25, 2002)]
[Notices]
[Page 65581]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-27185]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifiers: CMS-10041]


Agency Information Collection Activities: Proposed Collection; 
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: Extension of a currently 
approved collection; Title of Information Collection: Long Term Care 
Awareness Project; Form No.: CMS-10041 (OMB 0938-0825); Use: 
CMS-CBC needs to collect these data to pilot test a national campaign 
to educate current and future Medicare beneficiaries and their families 
about long term health care needs, as requested in the Presidential 
Initiative for Fiscal Year 2000 Budget. Project findings will be used 
to design and implement a nationwide campaign. Respondents will be from 
two groups: 55-70 year-olds and persons with disability who are 18-64 
years of age; Frequency: Quarterly; Affected Public: Individuals or 
Households; Number of Respondents: 2000; Total Annual Responses: 2000; 
Total Annual Hours: 667.
    To obtain copies of the supporting statement and any related forms 
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, 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 60 days of this notice directly to the CMS Paperwork Clearance 
Officer designated at the following address: CMS, Office of Strategic 
Operations and Regulatory Affairs, Division of Regulations Development 
and Issuances, Attention: Dawn Willinghan, Room N2-14-26, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: October 17, 2002.
John P. Burke, III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, 
Office of Strategic Operations and Strategic Affairs, Division of 
Regulations Development and Issuances.
[FR Doc. 02-27185 Filed 10-24-02; 8:45 am]
BILLING CODE 4120-03-P