Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
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###### Department of Health and Human Services

###### Office of the Secretary 

          - [Document Identifier: OS-0990-0268] 

# 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                               ( print 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                         *naomi.cook@hhs.gov*, 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