Medicare Program Integrity Customer Satisfaction Project

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
8639	Medicare Program Integrity Customer Satisfaction Project Form	Migrated

ICR Details

OMB Control No: 0938-0837	ICR Reference No: 200209-0938-005
Status: Historical Active	Previous ICR Reference No: 200105-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Program Integrity Customer Satisfaction Project
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 with change	Conclusion Date: 12/10/2002
	Date Received in OIRA: 09/17/2002
Terms of Clearance: This information collection request is being given an abbreviated clearance period of 18 months in order to give CMS an opportunity to address the low response rates from providers. The following are previous terms of clearance that shall remain in effect: (1) CMS will work actively with professional associations in order to encourage the participation of their members and raise response rates (2) CMS will caveat the findings of this survey with an explanation of response rates & description of nonresponse bias. Further, the following additional terms of clearance will apply: (1) Upon receipt of data from the next fielding of this survey, CMS will conduct an analysis of the nonresponse bias and report the results to OMB, (2) CMS will also include the response rates achieved. This information will be used in determining whether additional nonresponse follow-up activities (such as telephone follow-up) are appropriate, and in determining whether future iterations of this survey will be approved. (3) Finally, the results of this survey will be used to make improvements in customer service provided to beneficiaries and providers and not to make generalizations about the populations.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2004	03/31/2004	12/31/2002
Responses	5,250	0	5,250
Time Burden (Hours)	782	0	782
Cost Burden (Dollars)	0	0	0

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Abstract: Medicare's Integrity Program seeks to improve customer service provided to beneficiaries and providers. The study's purpose is to identify baseline satisfaction with Program Integrity efforts, to prioritize improvement areas, and to identify potential service delivery changes that can be implemented by CMS or its contractors. Respondents include beneficiaries whose billing questions were transferred to Fruad, and providers who have been through enrollment, medical review, or cost report audit.

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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
Medicare Program Integrity Customer Satisfaction Project	CMS-10029

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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	5,250	5,250	0	0	0	0
Annual Time Burden (Hours)	782	782	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:

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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: 09/17/2002

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