[Federal Register Volume 67, Number 110 (Friday, June 7, 2002)]
[Notices]
[Page 39404]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-14275]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10065]


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 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: Making Good Choices Survey; Form No.: CMS-10065 
(OMB 0938-NEW); Use This is a request for clearance for a 
survey ``Making Good Choices about Medicare Health Plan Survey''. As 
part of the continuous quality improvement effort for the National 
Medicare Education Program (NMEP), this survey will be used to assess 
the impact of new educational materials developed for individuals who 
are turning 65 and entering the Medicare program. The measures and 
educational materials are based on the Transtheoretical Model of Change 
(TTM, the ``stage model''), which has been applied and proven effective 
in facilitating behavior change in a wide range of health behaviors 
including smoking cessation, exercise acquisition and mammography 
screening. The materials are designed to increase new enrollees' 
readiness to compare their health plan options and make an informed 
choice. The use of an investigational design in the present study (one 
group will receive the materials, another will not) will allow CMS to 
determine whether the materials increase readiness to make an informed 
choice, self-efficacy, knowledge about the Medicare program, 
information seeking, and satisfaction with health plan choice. It will 
assist CMS with its national educational campaign to inform 
beneficiaries about their health plan choices.--; Frequency: Once with 
follow-up; Affected Public: Individuals or Households; Number of 
Respondents: 1350; Total Annual Responses: 1350; Total Annual Hours: 
1013 hours.
    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: Melissa Musotto, Room N2-14-26, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.

    Dated: May 29, 2002.
John P. Burke III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, CMS 
Office of Information Services, Security and Standards Group, Division 
of CMS Enterprise Standards.
[FR Doc. 02-14275 Filed 6-6-02; 8:45 am]
BILLING CODE 4120-03-P