[Federal Register Volume 71, Number 145 (Friday, July 28, 2006)]
[Notices]
[Page 42851]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-12036]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10202]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) 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.
    1. Type of Information Collection Request: New Collection; Title of 
Information Collection: Data Collection for Administering the Medicare 
Health Improvement Survey; Use: This beneficiary survey is to obtain 
information about beneficiary behavior, physical functioning and 
satisfaction with the care management programs data required to 
evaluate the Medicare Care Management for High Cost Beneficiaries 
demonstration (CMHCB). This demonstration provides an opportunity to 
test new models of care for Medicare beneficiaries who are high-cost 
and who have complex chronic conditions with the goals of reducing 
future costs, improving quality of care and quality of life, and 
improving beneficiary and provider satisfaction. Form Number: CMS-10202 
(OMB: 0938-NEW); Frequency: Reporting--On occasion; Affected 
Public: Individuals or Households; Number of Respondents: 3633; Total 
Annual Responses: 3633; Total Annual Hours: 908.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
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.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received at the address below, 
no later than 5 p.m. on September 26, 2006. CMS, Office of Strategic 
Operations and Regulatory Affairs, Division of Regulations 
Development--C, Attention: Bonnie L Harkless, Room C4-26-05, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: July 20, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-12036 Filed 7-27-06; 8:45 am]
BILLING CODE 4120-01-P