[Federal Register: November 2, 1999 (Volume 64, Number 211)]
[Notices]               
[Page 59184]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr02no99-58]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[Document Identifier: HCFA-R-291]

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

    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, has 
submitted to the Office of Management and Budget (OMB) the following 
proposal for the collection of information. Interested persons are 
invited to send comments regarding the 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: Multi-State Evaluation of Dual 
Eligibles Demonstrations; Wisconsin Partnership Program;
    Form No.: HCFA-R-291 (OMB# 0938-NEW);
    Use: This survey provides information needed to evaluate dual 
eligible demonstrations on issues of satisfaction and gathers health 
and functional status to be used in other analyses. Dual eligible 
demonstrations are designed to create alternative delivery services for 
acute and long-term care services to elderly and disabled persons which 
provide increased coordination, improve access to quality services and 
control or more appropriately allocate future costs. Respondents to the 
survey include demonstration enrollees both living in the community and 
in institutions, their families, disenrollees and corresponding 
comparison groups. Information collected will pertain to description of 
the person, information regarding enrollment/disenrollment, quality of 
life, satisfaction, general health, functional status, access to 
services, and informal care giving. This data will be combined with 
secondary data on utilization of services to analyze the coordination 
of care, utilization, outcomes, and cost of providing services;
    Frequency: Other: One-time;
    Affected Public: Individuals or Households;
    Number of Respondents: 5,945;
    Total Annual Responses: 5,945;
    Total Annual Hours: 3,830.
    To obtain copies of the supporting statement 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 and phone number, 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 
designated at the following address: OMB Human Resources and Housing 
Branch, Attention: Allison Eydt, New Executive Office Building, Room 
10235, Washington, DC 20503.

    Dated: October 5, 1999.
John Parmigiani,
Manager, HCFA, Office of Information Services, Security and Standards 
Group, Division of HCFA Enterprise Standards.
[FR Doc. 99-28633 Filed 11-1-99; 8:45 am]
BILLING CODE 4120-03-M