[Federal Register: February 11, 2002 (Volume 67, Number 28)]
[Notices]
[Page 6264]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr11fe02-64]
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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 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: 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