MEDICARE CURRENT BENEFICIARY SURVEY: ROUNDS 10-19

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
113998	MEDICARE CURRENT BENEFICIARY SURVEY: ROUNDS 10-19 Form	Migrated

ICR Details

OMB Control No: 0938-0568	ICR Reference No: 199409-0938-010
Status: Historical Active	Previous ICR Reference No: 199306-0938-014
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: MEDICARE CURRENT BENEFICIARY SURVEY: ROUNDS 10-19
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/08/1994
	Date Received in OIRA: 09/19/1994
Terms of Clearance: With the exception of the Round 11 questionnaire supplement, OMB approves the Medicare Current Beneficiary Survey: Rounds 10-19 through 11/97. OMB has not approved the 8/8/94 draft of the Round 11 supplement because it is difficult to comprehend and determine its potential practical utility in the field. OMB encourages HCFA to reformat the questionnaire so that it has appropriate skip patterns, a to carefully evaluate the educational reading level of many of the questions. Before resubmitting the supplement for expeditious, OMB review, HCFA should brief OMB on these issues and how the supplement fits into HCFA's broader information resource strategy.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/1997	11/30/1997	01/31/1995
Responses	40,000	0	40,000
Time Burden (Hours)	40,000	0	40,000
Cost Burden (Dollars)	0	0	0

---

Abstract: MEDICARE CURRENT BENEFICIARY SURVEY QUESTIONNAIRE ROUNDS 10-19 COLLECT COST AND UTILIZATION DATA FOR COMMUNITY AND INDUSTRY POPULATION. INFORMATION COLLECTION INCLUDES: INPATIENT HOSPITALIZATION, EMERGENCY ROOM, OUTPATIENT CLINICS, PROVIDER USE, PRESCRIBED MEDICATIONS, AND OTHER MEDICAL EQUIPMENT. COSTS, CHARGES, SOURCES OF PAYMENT WILL BE COLLECTED FOR EACH USE.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
MEDICARE CURRENT BENEFICIARY SURVEY: ROUNDS 10-19	HCFA P-15A

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	40,000	40,000	0	0	0	0
Annual Time Burden (Hours)	40,000	40,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/19/1994

---