[Federal Register Volume 66, Number 143 (Wednesday, July 25, 2001)]
[Notices]
[Page 38710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-18551]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[CMS-10026]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare and Medicaid Services, HHS.
    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, is publishing 
the following summary of proposed collections for public comment. 
Interested persons are invited to send comments regarding this 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 
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 and any related forms 
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, phone number, OMB number, and CMS 
document identifier, to [email protected], or call the Reports 
Clearance Office on (410) 786-1326. Written comments and 
recommendations for the proposed information collections must be mailed 
within 60 days of this notice directly to the CMS Paperwork Clearance 
Officer designated at the following address: CMS, Office of Information 
Services, Security and Standards Group, Division of CMS Enterprise 
Standards, Attention: Dawn Willinghan, CMS-10026, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: July 18, 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. 01-18551 Filed 7-24-01; 8:45 am]
BILLING CODE 4120-03-P