National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries

Forms and Documents

Document Name	Status
Form CMS-R-254 National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries Form and Instruction	Modified
Form CMS-R-254 National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries Form and Instruction	New
CMS-R-254.Supporting Statement Part B.doc Supporting Statement B	2009-08-19
CMS-R-254.Supporting Statement Part A.doc Supporting Statement A	2009-08-19

IC Document Collections

IC ID	Document Title	Status
8416	National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries Form and Instruction	Modified
190525	National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries Form and Instruction	New

ICR Details

OMB Control No: 0938-0738	ICR Reference No: 200908-0938-015
Status: Historical Inactive	Previous ICR Reference No: 200509-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 02/18/2010
	Date Received in OIRA: 08/31/2009
Terms of Clearance: Withdrawn per CMS request 2/18/2010.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request was inadvertantly discontinued in December 2008. The National Medicare & You Education Program (NMEP) was developed to inform Medicare beneficiaries about their Medicare options. The MMA of 2003 expanded the program to include among other things, a new Prescription Drug Benefit. This survey seeks to assess the awareness, knowledge, understanding and experience of Medicare beneficiaries regarding the Medicare program overall and these new initiatives.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Research and investigations generally
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 55846	09/26/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 41141	08/14/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries	CMS-R-254	NMEP Survey
National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries	CMS-R-254	NMEP Survey

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change in the burden is due to an increase in sample size because CMS is attempting to reach a larger national representative sample. There is no longer a need to survey case study sites in 10 U.S. communities because the NMEP is no longer limited to 10 US communities. CMS has a need to survey on a national level.

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Annual Cost to Federal Government: $1,604,167

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/31/2009

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