Approved for use
through 3/96 under the condition that HCFA amends the Privacy Act
statement so that it fully complies with 5 U.S.C. 552 a (e)(3) and
considers data sharing with other interested Federal agencies as
discussed in the Benefits Systems Review Team meetings. Such
sharing must have accompanying agency commitments that encourage
sharing of data with assurances that the information would only be
used for consistent purposes and would not be available for
subsequent release. In particular, 5 U.S.C. 552 a (e) (3) requires
that the Privacy Act statement describes: 1) the purpose of the
collection; 2) whether it is mandatory or voluntary; 3) the
authority for such a collection; 4) the routine uses of the
information; 5) the implications to the respondent for not
complying; and 6) the computer matching that will be applied. Prior
to committing to such matching (i.e. with other Federal agencies)
HCFA may need to amend its Sytems of Records notice. HCFA should
share its revised Privacy Act statement and Systems of Records
notice with OMB and obtain its concurrence prior to proceeding with
this survey.
Inventory as of this Action
Requested
Previously Approved
03/31/1996
03/31/1996
1,800,000
0
0
60,000
0
0
0
0
0
This survey is being undertaken to
improve the completeness of race and ethnicity information
contained on the Medicare enrollment database. The information will
help ensure health security for Medicare beneficiaries and assist
in the enforcement of the Civil Rights Act of 1964. Respondents are
Medicre beneficiaries whose current race/ethnicity annotation is
'unknown' or 'other' or who are likely to be Hispanic.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.