[Federal Register Volume 70, Number 193 (Thursday, October 6, 2005)]
[Notices]
[Pages 58415-58416]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-20102]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

[Document Identifier: OS-0990-0268]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Office of the Secretary; HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the

[[Page 58416]]

Office of the Secretary (OS), Department of Health and Human Services, 
is publishing the following summary of a proposed collection for public 
comment. Interested persons are invited to send 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.
    Type of Information Collection Request: Regular Clearance, 
Extension of a currently approved collection.
    Title of Information Collection: Service Use and Transition of 
Private Long-Term Care Insurance.
    Form/OMB No.: OS-0990-0268.
    Use: This is a longitudinal study of an admission cohort of private 
long-term care insurance claimants. A representative sample of 
claimants from nine companies will be followed for twenty months to 
better understand how they select and use services.
    Frequency: Reporting.
    Affected Public: Individuals or households.
    Annual Number of Respondents: 1,650.00.
    Total Annual Responses: 6,755.00.
    Average Burden per Response: \1/2\ hour.
    Total Annual Hours: 3,720.00.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access the HHS 
Web site address at http://www.hhs.gov/oirm/infocollect/pending/ or e-
mail your request, including your address, phone number, OMB number, 
and OS document identifier, to <a href="/cdn-cgi/l/email-protection#d9b7b8b6b4b0f7bab6b6b299b1b1aaf7beb6af"><span class="__cf_email__" data-cfemail="d5bbb4bab8bcfbb6bababe95bdbda6fbb2baa3">[email protected]</span></a>, or call the Reports 
Clearance Office on (202) 690-6162. Written comments and 
recommendations for the proposed information collections must be 
received with 60-days, and directed to the OS Paperwork Clearance 
Officer at the following address:

Department of Health and Human Services, Office of the Secretary, 
Assistant Secretary for Budget, Technology, and Finance, Office of 
Information and Resource Management, Attention: Naomi Cook (0990-0268), 
Room 531-H, 200 Independence Avenue, SW., Washington DC 20201.

    Dated: September 28, 2005.
Robert E. Polson,
Office of the Secretary, Paperwork Reduction Act Reports Clearance 
Officer.
[FR Doc. 05-20102 Filed 10-5-05; 8:45 am]
BILLING CODE 4150-39-P


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