CMS Response

Medicare Current Beneficiary Survey

OMB Number 0938-0568

CMS response to OMB Question, Comments and Concerns

1. Supporting Statement Part A: Question 8 (Federal Register/Outside Consultation) – Please add mention of public comments.

A 60-day Federal Register Notice was published on May 28, 2010. A copy of the notice is not included, but can be found on Page 30030 of the FR Notice. Since this collection is not new, we have not gone out to solicit outside consultation; however, during the 60-day Federal Register Notice the public is free to comment. No public comments were received.

2. Supporting Statement Part A: Question 10 (Confidentiality) – Please include language that identifies the System of Records Notice(s) (SORN) associated with this data collection activity.

The Modified or Altered System of Records notice for this collection effort was published on Monday, October 16, 2006 in Volume 71, Number 199 on pages 60722-60726 (Attachment 12).

3. Supporting Statement Part A: Question 11 (Sensitive Questions) – Please include language that acknowledges some sensitive questions within the effort. OMB is not questioning this need, only asking for the package to accurately reflect the instrument. Provide justification for collecting these questions.

While we acknowledge some of the questions included in this collection effort are sensitive in nature (i.e. health status and functioning, income, and personal medical utilization), the information we collect is protected by the Privacy Act of 1974. Furthermore, this information is a key tool used for improving the Medicare program.

4. Attachment 3: MCBS Brochure.pdf – Page 1, bottom – remove (; and to the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503)

See revised attachment MCBSBrouchure.pdf, page 4.

5. Attachment 3: MCBS Brochure.pdf – Page 3, Section Header: How do I know my answers will be kept private? – remove (used only for statistics.  It will be)

See revised attachment MCBSBrouchure.pdf

6. Attachment 3: AttheDoorBrochure2010.pdf – Page 2, Second Bullet, Second Line – remove (s) from law

See revised attachment AttheDoorBrochure2010.pdf

7. Attachment 3: AttheDoorBrochure2010.pdf – Page 2, Third Bullet – remove first sentence

See revised attachment AttheDoorBrochure2010.pdf