[Federal Register Volume 71, Number 203 (Friday, October 20, 2006)]
[Notices]
[Page 61979]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-17353]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10202]


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

AGENCY: Centers for Medicare & 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 & 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 function; (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.
    Written comments and recommendations for the proposed information 
collections must be mailed or faxed within 30 days of this notice 
directly to the OMB desk officer: OMB Human Resources and Housing 
Branch, Attention: Carolyn Lovett, New Executive Office Building, Room 
10235, Washington, DC 20503, fax number: (202) 395-6974.

    Dated: October 12, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-17353 Filed 10-19-06; 8:45 am]
BILLING CODE 4120-01-P