[Federal Register Volume 66, Number 206 (Wednesday, October 24, 2001)]
[Notices]
[Pages 53800-53801]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-26720]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10051]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections 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
[[Page 53801]]
other forms of information technology to minimize the information
collection burden.
Type of Information Collection Request: New Collection; Title of
Information Collection: Evaluation of the MassHealth Insurance
Partnership; Form No.: CMS-10051 (OMB# 0938-NEW); Use: This collection
will be used to evaluate the Massachusetts' 1115 Waiver Demonstration,
including Insurance Partnership program, offering subsidies to small
employers to encourage them to offer health insurance coverage to
employees. The purpose of the survey is to determine the factors
influencing an employer's decision to participate or not, in the IP
program and their respective characteristics.; Frequency: Other: One-
time; Affected Public: Business or other for-profit, Not-for-profit
institutions, and Farms; Number of Respondents: 2,016; Total Annual
Responses: 2,016; Total Annual Hours: 336.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'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 CMS
document identifier, to [email protected], 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 CMS Paperwork Clearance
Officer designated at the following address: CMS, Office of Information
Services, Security and Standards Group, Division of CMS Enterprise
Standards, Attention: Dawn Willinghan, CMS-10051, Room N2-14-26, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: October 17, 2001.
John P. Burke III,
CMS Reports Clearance Officer, CMS Office of Information Services,
Security and Standards Group, Division of CMS Enterprise Standards.
[FR Doc. 01-26720 Filed 10-23-01; 8:45 am]
BILLING CODE 4120-03-P