[Federal Register Volume 68, Number 144 (Monday, July 28, 2003)]
[Notices]
[Pages 44339-44340]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-19103]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10084]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare and Medicaid Services.
    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 (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: Extension of a currently 
approved collection; Title of Information Collection: Design and 
Implementation of a Targeted Beneficiary Survey on Access to Physician 
Services Among Medicare Beneficiaries; Form No.: CMS-10084 
(OMB 0938-0890); Use: This survey of Medicare beneficiaries in 
targeted communities will be used to obtain information on whether they 
are experiencing problems accessing

[[Page 44340]]

physician services. CMS will use data collected to determine if access 
problems exist at all, where and why problems may arise, whom they 
affect, and what the consequences are for Medicare beneficiaries. CMS 
will also learn the extent to which physician access problems are 
Medicare-specific.; Frequency: One-time; Affected Public: Individuals 
or Households; Number of Respondents: 4,000; Total Annual Responses: 
4,000; Total Annual Hours: 958.
    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://cms.hhs.gov/regulations/pra/default.asp, 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 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Brenda Aguilar, New 
Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: July 17, 2003.
Dawn Willinghan,
Acting, Paperwork Reduction Act Team Leader, CMS Reports Clearance 
Officer, Office of Strategic Operations and Strategic Affairs, Division 
of Regulations Development and Issuances.
[FR Doc. 03-19103 Filed 7-25-03; 8:45 am]
BILLING CODE 4120-03-P