[Federal Register: February 16, 2001 (Volume 66, Number 33)]
[Notices]
[Page 10702-10703]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr16fe01-95]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[Document Identifier: HCFA-10011]
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
[[Page 10703]]
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: Stages of Change Survey for
Informed Choice in the Medicare Population;
Form No.: HCFA-10011 (OMB# 0938-NEW)
Use: This is a survey of Medicare beneficiaries in the first step
in the application the Transtheoretical Model (the ``stage model'') to
informed choice in the Medicare population. The Transtheoretical Model
has been applied and proven effective in facilitating behavior change
in a wide range of health behaviors including smoking cessation,
mammography screening, and safe sex. This work will yield
psychometrically sound and externally valid measures of beneficiaries'
readiness to make informed choices about health plans, and provide
information to HCFA to assist with its national educational campaign to
inform beneficiaries about their choices. Stages of Change measures
will be administered to 560 Medicare beneficiaries' readiness to make
informed choices about health plans, and provide information to guide
HCFA's National Medicare Education Program (NMEP).;
Frequency: Other: One-time survey;
Affected Public: Individuals or Households;
Number of Respondents: 560;
Total Annual Responses: 560;
Total Annual Hours: 327.
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: January 25, 2001.
John P. Burke III,
HCFA Reports Clearance Officer, HCFA, Office of Information Services,
Security and Standards Group, Division of HCFA Enterprise Standards.
[FR Doc. 01-3973 Filed 2-15-01; 8:45 am]
BILLING CODE 4120-03-P