Federal Register / Vol. 65, No. 86 / Wednesday, May 3, 2000 / Notices 25737

greater increase or decrease in access

and quality than beneficiaries who

receive enteral nutrition.

The information that this survey will

provide about access, quality, and

product selection will be very important

to the future of competitive bidding

within the Medicare program.

Frequency: Other: One time.

Affected Public: Individuals or

households;

Number of Respondents: 2,128;

Total Annual Responses: 2,128;

Total Annual Hours: 637.

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 60 days of this notice directly to

the HCFA Paperwork Clearance Officer

designated at the following address:

HCFA, Office of Information Services,

Security and Standards Group, Division

of HCFA Enterprise Standards,

Attention: Dawn Willinghan, Room N2–

14–26, 7500 Security Boulevard,

Baltimore, Maryland 21244–1850.

Dated: April 24, 2000.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA Office

of Information Services, Security and

Standards Group, Division of HCFA

Enterprise Standards.

[FR Doc. 00–11037 Filed 5–2–00; 8:45 am]

BILLING CODE 41210–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–566]

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: Extension of a currently

approved collection;

Title of Information Collection:

Medicare, Managed Care Disenrollment

Form;

Form No.: HCFA–566 (OMB #0938–

0507);

Use: This form is used to disenroll

from managed care plans. This is to be

used in Social Security Field Offices to

allow Medicare beneficiaries to

disenroll from a managed care plan;

Frequency: On occasion;

Affected Public: Individuals or

households, business or other for-profit,

Not-for-profit institutions, and Federal

Government;

Number of Respondents: 85,000;

Total Annual Responses: 85,000;

Total Annual Hours: 2,805.

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 Email 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, D.C. 20503.

Dated: April 10, 2000.

John P. Burke III,

HCFA Reports Clearance Officer, HCFA,

Office of Information Services, Security and

Standards Group, Division of HCFA

Enterprise Standards.

[FR Doc. 00–11035 Filed 5–2–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–R–310]

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: Health

Care Services for Deaf and Hard of

Hearing Adults—Case Story Forms;

Form No.: HCFA–R–310 (OMB

#0938–NEW);

Use: The Agency seeks to obtain

beneficiary information that helps

providers (1) better understand

situations in which problems may be

avoided when encountering a hearingimpaired or deaf individual, (2) explore

how such encounters may affect the

delivery of quality care of adversely

impact health care outcomes, and (3)

provide an opportunity for hearingimpaired individuals to develop more

appropriate health-seeking behavior,

where indicated. This form is to be used

by deaf and hard of hearing individuals

accessing the Delmarva web site who

may wish to identify experiences

receiving health care in the United

States. The experiences may be either

good or bad. Respondents are asked to

complete a form for each case or

experience;

Frequency: On occasion;

Affected Public: Individuals or

Households;

Number of Respondents: 100;

Total Annual Responses: 100;

Total Annual Hours: 17.