Federal Register / Vol. 65, No. 231 / Thursday, November 30, 2000 / Notices 71325

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:

Melissa Musotto, Room N2–14–26, 7500

Security Boulevard, Baltimore, Maryland

21244–1850.

Dated: November 17, 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. 00–30508 Filed 11–29–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier:HCFA–R–204]

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: Data

Collection for the Second Generation

Social Health Maintenance Organization

Demonstration;

Form No.: HCFA–R–204 (OMB#

0938–0709);

Use: The data collected under this

effort will be used to support the

operational needs of the

Congressionally-mandated Second

Generation of the Social Health

Maintenance Organization

Demonstration. The purpose of the data

collections is to collect the necessary

data elements from members of the

treatment group for the risk-adjusted S/

HMO—payment methodology, and to

gather information from members of the

treatment group to enable the

participating S/HMO–II site to identify

high-risk beneficiaries and more

appropriately target the clinical and

social resources of the S/HMO model.

Frequency: On occasion, and

Annually.

Affected Public: Individuals or

Households.

Number of Respondents: 40,393.

Total Annual Responses: 69,717.

Total Annual Hours: 32,917.

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, DC 20503.

Dated: November 17, 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. 00–30506 Filed 11–29–00; 8:45 am]

BILLING CODE 4120–03–P

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA–R–201]

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:

Incentive Arrangement Disclosure Form

and Supporting Regulations in 42 CFR

417.479, 417.500, 422.208, 422.210,

434.44, 434.67, 434.70, 1003.100,

1003.101, 1003.103, 1003.106.

Form No.: HCFA–R–201 (OMB#

0938–0700).

Use: Managed Care Organizations that

have contracts to serve Medicare/

Medicaid beneficiaries are required to

disclose payment arrangements with

medical groups and physicians. If any

arrangement includes an incentive that

places a group or physician at risk for

referrals that exceeds 25% of total

payments and the risk is spread over

25,000 or fewer patients, then the

provider must have stop-loss insurance.

This data collection will be used to

determine compliance with the

requirement to disclose incentives and

maintain appropriate stop-loss.

Frequency: Annually.

Affected Public: Business or other forprofit, Not-for-profit institutions,

Federal Government, and State, Local or

Tribal Government.

Number of Respondents: 450.

Total Annual Responses: 450.

Total Annual Hours: 45,000.

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, DC 20503.