Medicare Plan Finder Experiment

Forms and Documents

Document Name	Status
Form CMS-10441 Medicare Plan Finder Experiment Form and Instruction	New
CMS-10441-Medicare_Plan_Finder_OMB_Supporting_Statement.pdf Supporting Statement B	2012-12-05
Changes to OMB package attachments based on UnitedHealthcare review 100112.docx Supplementary Document	2012-12-05
CMS-10441-Medicare_Plan_Finder_OMB_Supporting_Statement.pdf Supporting Statement A	2012-12-05

IC Document Collections

IC ID	Document Title	Status
205057	Medicare Plan Finder Experiment Form and Instruction	New

ICR Details

OMB Control No: 0938-1201	ICR Reference No: 201212-0938-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Plan Finder Experiment
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/10/2013
	Date Received in OIRA: 12/07/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	36 Months From Approved
Responses	600	0	0
Time Burden (Hours)	252	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this experiment is to test the effects of two prospective enhancements to the Medicare Plan Finder (MPF) website. We refer to these prospective enhancements as the "Quick Links" and "enhanced data display."The Quick Links home page, which was developed as an alternative to the current MPF home page, is intended to provide a quick overview of all of the most common uses of MPF data, a succinct explanation of each of those uses, and a direct conduit to comparative data on plans. The enhanced data display is designed as a more consumer-friendly alternative to the current data display. In particular, the enhanced data display is meant to make plan data more easily evaluable and operable, and to draw greater attention to plan quality data.

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Authorizing Statute(s): PL: Pub.L. 108 - 173 . Name of Law: MMA of 2003
  

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:
	77 FR 40064	07/06/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 70444	11/26/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Medicare Plan Finder Experiment	CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441, CMS-10441	Attachment_E-a ,   Attachment J - post survey conditions 3 and 4 - 100112 ,   Attachment L - post survey conditions 7 and 8 ,   Attachment N - post survey conditions 11 and 12 ,   Attachment_B-a ,   Attachment_C-a ,   Attachment_A-a ,   Attachment_D-a ,   Attachment_F-a ,   Attachment_G-a ,   Attachment H - pre-exposure survey 100112 ,   Attachment_I-post_survey_conditions_1_and_2 ,   Attachment K - post survey conditions 5 and 6 ,   Attachment M - post survey conditions 9 and 10 ,   Attachment O - post survey conditions 13 and 14 ,   Attachment P - post survey conditions 15 and 16

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	600	0	0	600	0	0
Annual Time Burden (Hours)	252	0	0	252	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: This is a new information collection request.

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Annual Cost to Federal Government: $352,000

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 12/07/2012

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