Medicare Current Beneficiary Survey (MCBS)

ICR 201311-0938-005

OMB: 0938-0568

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement B
2013-10-25
Supplementary Document
2013-10-25
Supplementary Document
2013-10-25
Supplementary Document
2013-10-25
Supplementary Document
2013-10-25
Supplementary Document
2013-10-25
Supplementary Document
2013-10-25
Supporting Statement A
2013-10-29
IC Document Collections
ICR Details
0938-0568 201311-0938-005
Historical Active 201202-0938-008
HHS/CMS 20757
Medicare Current Beneficiary Survey (MCBS)
Revision of a currently approved collection   No
Regular
Approved without change 07/30/2014
Retrieve Notice of Action (NOA) 11/08/2013
It is OMB’s understanding that the CMS is studying recommendations to modernize the MCBS. Within four months of approval of this ICR, CMS commits to briefing OMB on the changes to the MCBS that are being considered and the developmental work that it will pursue in advance of fielding new design elements. OMB commits to working with CMS to put into place generic clearance mechanisms, as appropriate, to aid said developmental work.
  Inventory as of this Action Requested Previously Approved
07/31/2017 36 Months From Approved 07/31/2014
49,650 0 48,651
58,450 0 58,450
0 0 0

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.

PL: Pub.L. 108 - 173 722(b)(1) Name of Law: Medicare Prescription Drug, Improvement, and Modernization Act
  
None

Not associated with rulemaking

  78 FR 45205 07/26/2013
78 FR 61846 10/04/2013
No

  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 49,650 48,651 0 999 0 0
Annual Time Burden (Hours) 58,450 58,450 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$17,158,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Denise King 410 786-1013 [email protected]

  No

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.
11/08/2013


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