The Medicare Current Beneficiary
Survey (MCBS) is a continuous, multipurpose survey of a nationally
representative sample of aged, disabled, and institutionalized
Medicare beneficiaries. MCBS, which is sponsored by the Centers for
Medicare & Medicaid Services (CMS), is the only comprehensive
source of information on the health status, health care use and
expenditures, health insurance coverage, and socioeconomic and
demographic characteristics of the entire spectrum of Medicare
beneficiaries. The core of the MCBS is a series of interviews with
a stratified random sample of the Medicare population, including
aged and disabled enrollees, residing in the community or in
institutions. Questions are asked about enrollees' patterns of
health care use, charges, insurance coverage, and payments over
time. Respondents are asked about their sources of health care
coverage and payment, their demographic characteristics, their
health and work history, and their family living circumstances. In
addition to collecting information through the core questionnaire,
the MCBS collects information on special topics through
supplements. For example, questions are asked about enrollees'
income and assets, access to health care, health and functional
status and satisfaction with care. Special supplements also focus
on emerging trends in health care.
The increase in burden hours is
a direct result of two separate factors. The first is the computer
assisted in-person interviewing (CAPI) operating platform
conversion effort. The change in functionality has contributed much
of the increase; however, this is not the only reason for the
burden increase. The addition of Medicare Part D to the program has
increased the number of statements with which must be recorded. In
an effort to defray some of this increased burden, several
methodological modifications have been adopted. Two primary steps
that have been taken to help reduce overall burden are, to change
the utilization reference period and changing the facility
reference period from every 4 months to every 6 months.
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.