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

[Federal Register Volume 64, Number 76 (Wednesday, April 21, 1999)]
[Notices]
[Pages 19544-19545]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-9970]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-R-0268, R-0271, and R-0274]


Agency Information Collection Activities: Submission for OMB 
Review; 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

[[Page 19545]]

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.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Collection of 
Assessment Information on Three Federal Government Web Sites: 
www.medicare.gov, www.4woman.gov, and www.healthfinder.gov; Form Nos.: 
HCFA-R-268 (OMB No. 0938-0756); Use: The purpose of the bounceback 
forms is to provide feedback to the government agencies that provide 
the web sites. The information collected through the bounceback forms 
will be used with other information collected about the web sites 
through focus groups, interviews, and expert evaluations. The combined 
information will guide future improvements to the web sites. Currently, 
there is no plan to distribute the information, other than through 
public health, medical, or other professional journals, in which we may 
report the results.; Frequency: Users will have the opportunity to 
complete the bounceback form whenever they exit the web site. Affected 
Public: Individuals or Households, Business or other for-profit, and 
Not-for-profit institutions; Number of Respondents: 636,555; Total 
Annual Responses: 212,185; Total Annual Hours: 21,221.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Publication Information Sheet Reorder Form 
Feedback Questionnaire; Form No.: HCFA-R-0271 (OMB# 0938-new); Use: The 
Educational and Health Promotion Group (EHPG) develops materials for 
beneficiary-centered education, and makes efforts to improve 
beneficiary ability to make informed health decisions. The purpose of 
this collection is post-distribution testing. One Feedback 
Questionnaire will be placed in each box of bulk mailings, on the back 
of a publication information sheet, and reorder forms. The distributor 
is given the option of completing the questionnaire. Those who choose 
to complete the questionnaire will be providing EHPG with valuable 
information that will assist in improving future versions of the 
publication; Frequency: Annually; Affected Public: Federal Government, 
Business or other for-profit, Not-for-profit institutions, and State, 
Local, or Tribal Government; Number of Respondents: 20,000; Total 
Annual Responses: 2,000; Total Annual Hours: 500.
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: Evaluation of Medicare+Choice (M+C) Medical 
Savings Account (MSA) Demonstration, Insurer Survey Component; Form 
No.: HCFA-R-0274 (OMB# 0938-new); Use: This survey instrument is 
designed for insurers to determine their marketing plans regarding high 
deductible health insurance plans for Medicare beneficiaries to be used 
in conjunction with MSA. The Insurer Survey is part of a larger 
evaluation of the M+C MSA demonstration mandated by the Balanced Budget 
Act of 1997. The overall evaluation plan includes collecting data on 
use of and payment for medical services from Medicare MSA enrollees 
through an addition to the Medicare Current Beneficiary Survey sample, 
collecting data from beneficiaries who disenroll from M+C MSA plans, 
and collecting data from insurers about their reactions to the M+C MSA 
demonstration; Frequency: Annually; Affected Public: Business or other 
for-profit, and Not-for-profit institutions.; Number of Respondents: 
350; Total Annual Responses: 350; Total Annual Hours: 155.
    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 www.hcfa.gov/regs/prdact95.htm, or E-mail 
your request, including your address, phone number, OMB number, and 
HCFA document identifier, to Paperwork@hcfa.gov, 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: Allison Eydt, New 
Executive Office Building, Room 10235, Washington, D.C. 20503.

    Dated: April 13, 1999.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA Office of Information Services, 
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-9970 Filed 4-20-99; 8:45 am]
BILLING CODE 4120-03-P