[Federal Register: October 12, 2001 (Volume 66, Number 198)]
[Notices]
[Page 52139-52140]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12oc01-94]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10026]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid
Services (CMS), Department of Health and Human Services, has submitted
to the Office of Management and Budget (OMB) the following proposal for
the collection of information. 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
[[Page 52140]]
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: Reinstatement, without
change, of a previously approved collection for which approval has
expired.
Title of Information Collection: Survey of Medicare Beneficiaries
Who Involuntarily Disenroll from their Health Plan.
Form No.: CMS-10026 (OMB# 0938-0817).
Use: In January 2002, many managed care plans are expected to
withdraw from Medicare or reduce their service area. This will continue
a trend that began in January 1999. CMS wishes to survey approximately
3,600 affected beneficiaries in early 2002 to determine how they were
impacted by the withdrawals and whether they received sufficient
information about options for replacing their managed care coverage.
Frequency: Other: One-Time.
Affected Public: Individuals or Households.
Number of Respondents: 3,600.
Total Annual Responses: 3,600.
Total Annual Hours: 684.
To obtain copies of the supporting statement for the proposed
paperwork collections referenced above, access CMS's Web Site address
at http://www.hcfa.gov/regs/prdact95.htm, or e-mail your request,
including your address and phone number, to Paperwork@hcfa.gov, or call
the Reports Clearance Office on (410) 786-1326. Written comments and
recommendations for the proposed information collections must be mailed
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
10235, Washington, DC 20503.
Dated: September 25, 2001.
John P. Burke III,
CMS Reports Clearance Officer, CMS, Office of Information Services,
Security and Standards Group, Division of CMS Enterprise Standards.
[FR Doc. 01-25688 Filed 10-11-01; 8:45 am]
BILLING CODE 4120-03-P