COMMUNITY COMPONENT SUPPLEMENT PR: "SOURCES OF INFORMATION ABOUT MEDICARE," MEDICARE CURRENT BENEFICIARY SURVEY

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
113999	COMMUNITY COMPONENT SUPPLEMENT PR: "SOURCES OF INFORMATION ABOUT MEDICARE," MEDICARE CURRENT BENEFICIARY SURVEY	Migrated

ICR Details

OMB Control No: 0938-0568	ICR Reference No: 199503-0938-005
Status: Historical Active	Previous ICR Reference No: 199409-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: COMMUNITY COMPONENT SUPPLEMENT PR: "SOURCES OF INFORMATION ABOUT MEDICARE," MEDICARE CURRENT BENEFICIARY SURVEY
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/08/1995
	Date Received in OIRA: 03/10/1995
Terms of Clearance: Approved for use through 6/98 with the understanding that this effort alone will not satisfy HCFA's commitments in the OMB Spring Review process on HCFA Online. More comprehensive analysis and information than this survey should be pursued for the FY 1997 Budget process and justification for HCFA Online. In addition, before fielding this supplement, HCFA should include a question that would enable ranking of beneficiary preferences in information dissemination techniques, i.e. do beneficiaries prefer an 800 number over other alternatives such as an improved hard copy handbook, a television show, etc.?

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1998	06/30/1998	11/30/1997
Responses	12,000	0	0
Time Burden (Hours)	20,000	0	40,000
Cost Burden (Dollars)	0	0	0

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Abstract: THIS SUPPLEMENT IS INTENDED TO FIND OUT FROM A SYSTEMATIC SAMPLE OF MEDICARE BENEFICIARIES HOW THEY OBTAIN INFORMATION ABOUT PROGRAM RULES AND PROCEDURES WHEN THEY NEED IT. IT ALSO ELICITS THEIR OPINION OF THE ADEQUACY OF THE INFORMATION THEY FOUND AND ALTERNATIVE MEANS BY WHICH HCFA MIGHT PROVIDE THIS INFORMATION.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
COMMUNITY COMPONENT SUPPLEMENT PR: "SOURCES OF INFORMATION ABOUT MEDICARE," MEDICARE CURRENT BENEFICIARY SURVEY

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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	12,000	0	0	0	12,000	0
Annual Time Burden (Hours)	20,000	40,000	0	0	-20,000	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:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

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Common Form ICR:  No

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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: 03/10/1995

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