[Federal Register Volume 59, Number 100 (Wednesday, May 25, 1994)] [Unknown Section] [Page 0] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 94-12801] [[Page Unknown]] [Federal Register: May 25, 1994] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Care Financing Administration Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) for Clearance AGENCY: Health Care Financing Administration, HHS. The Health Care Financing Administration (HCFA), Department of Health and Human Services (HHS), has submitted to OMB the following proposals for the collection of information in compliance with the Paperwork Reduction Act (Pub. L. 96-511). 1. Type of Request: Reinstatement; Title of Information Collection: Medicare Beneficiary Survey of Influenza Vaccination Form No.: HCFA-R- 127 Use: In order to assess the impact of the new Medicare influenza vaccine benefit on vaccination rates, HCFA needs to repeat the telephone and mail survey of Medicare beneficiaries; Frequency: One time data collection; Respondents: Individuals or households; Estimated Number of Responses: 34,500; Average Hours Per Response: 5 minutes; Total Estimated Burden Hours: 2,875. Additional Information or Comments: Call the Reports Clearance Office on (410) 966-5536 for copies of the clearance request packages. Written comments and recommendations for the proposed information collections should be sent 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 3001, Washington, DC 20503. Dated: May 12, 1994. John A. Streb, Director, Management Planning and Analysis Staff, Office of Financial and Human Resources, Health Care Financing Administration. [FR Doc. 94-12801 Filed 5-24-94; 8:45 am] BILLING CODE 4120-03-P