[Federal Register Volume 67, Number 33 (Tuesday, February 19, 2002)]
[Notices]
[Pages 7378-7379]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-3989]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10059]


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) (formerly known as the Health Care Financing 
Administration (HCFA)), 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

[[Page 7379]]

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: New Collection; Title of 
Information Collection: Survey of Medicare Private Fee-for-Service 
(PFFS) Enrollees and Nonenrollees; Form No.: CMS-10059 (OMB# 0938-NEW); 
Use: Private fee-for-service was established in the Balanced Budget Act 
(BBA) of 1997 as an important variant of the Medicare+Choice program. 
As of September 2001, the only PFFS product was being offered by 
Sterling Insurance Company in some or all of 25 states with enrollees 
24,300 including disenrollees. CMS wishes to survey approximately 6,322 
enrollees and nonenrollees to evaluate the impact of this option on 
Medicare beneficiary on their awareness and knowledge of PFFS, decision 
making for/against PFFS, access to care, out-of-pocket costs, 
satisfaction with PFFS, etc.; Frequency: Other: One-time; Affected 
Public: Individuals or households; Number of Respondents: 6,322; Total 
Annual Responses: 6,322; Total Annual Hours: 1,581.
    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-10059, Room N2-14-26, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: February 6, 2002.
John P. Burke, III,
Reports Clearance Officer, Security and Standards Group, Division of 
CMS Enterprise Standards.
[FR Doc. 02-3989 Filed 2-15-02; 8:45 am]
BILLING CODE 4120-03-P