Supporting Statement TOC

SUPPORTING STATEMENT

PDP and MA-PD Disenrollment Reasons Survey

TABLE OF ContentS

Background 4

A. Justification 4

A1. Need and Legal Basis 4

A2. Information Users 4

A3. Use of Information Technology 4

A4. Duplication of Efforts 5

A5. Small Businesses 5

A6. Less Frequent Collection 5

A7. Special Circumstances 5

A8. Federal Register/Outside Consultation 5

A9. Payment/Gifts to Respondents 5

A10. Confidentiality 5

A11. Sensitive Questions 5

A12. Burden Estimate (Hours & Wages) 6

A13. Capital Cost 7

A14. Cost to Federal Government 7

A15. Changes to Burden 7

A16. Publication/Tabulation Dates 7

A17. Expiration Date 9

A18. Certification Statement 9

B. Collection of Information Employing Statistical Methods 9

B1. Respondent Universe and Sample 9

B2. Information Collection Procedures 10

B3. Methods to Maximize Response Rates 11

B4. Tests of Procedures or Methods 11

B5. Statistical and Questionnaire Design Consultants 11

ATTACHMENT 1: Wave 1 Cover Letter 12

ATTACHMENT 2: Wave 2 Cover Letter 13

ATTACHMENT 3: PDP Disenrollee Survey 14

ATTACHMENT 4: MA-PD Disenrollee Survey 29