Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[Document Identifier: HCFA-R-141]

Agency Information Collection Activities: Proposed Collection;

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, is

publishing the following summary of proposed collections for public

comment. 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: Revision of a currently

approved collection; Title of Information Collection: Information

Collection Requirements Contained in the Medicaid Termination of

Enrollment Regulation 42 CFR 434.27; Form No.: HCFA-R-141, OMB-0938-

0572; Use: The termination of enrollment contract requirements, as

referenced in 42 CFR 434.27 allow States, through contracts with

Medicaid Managed Care Organizations (MCOs), to restrict disenrollment

from an MCO up to a one year period. However, Medicaid beneficiaries

are allowed to disenroll during the period for good cause. Frequency:

On occasion; Affected Public: Business or other for-profit; Number of

Respondents: 8,406,945; Total Annual Responses: 8,406,945; Total Annual

Hours: 1.

To obtain copies of the supporting statement for the proposed

paperwork collections referenced above, E-mail your request, including

your address and phone number, to P[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 HCFA Paperwork Clearance

Officer designated at the following address: HCFA, Office of

Information Services, Information Technology Investment Management

Group, Division of HCFA Enterprise Standards, Attention: John Rudolph,

Room C2-26-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

Dated: May 12, 1998.

John P. Burke III,

HCFA Reports Clearance Officer, Division of HCFA Enterprise Standards,

Health Care Financing Administration.

[FR Doc. 98-13658 Filed 5-21-98; 8:45 am]

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