[Federal Register: April 21, 1999 (Volume 64, Number 76)] [Notices] [Page 19544-19545] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr21ap99-57] ----------------------------------------------------------------------- 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 http://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