Crosswalk

2023 Full Clearance 30-Day Crosswalk.docx

Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)

Crosswalk

OMB: 0938-0568

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2023 Full Clearance 30-Day Package Crosswalk

The crosswalk below details changes made to the 2023 Full Clearance package between the 60-day submission and the 30-day submission.

Section of Full Clearance Package

Page Number/Quex Section

Revision in 30-day Full Clearance Package

Supporting Statement A

Page ii

Removed 60-day FRN.

Supporting Statement A

Page ii

Renumbered attachments.

Supporting Statement A

Section A, page 1

Added sexual orientation and gender identity to the health equity items.

Supporting Statement A

Section A2, pages 6-18

Updated for clarity and added content on the sexual orientation and gender identity items. Updated to reflect a change to burden as a result of adding the sexual orientation and gender identity.

Supporting Statement A

Section A8, pages 20-21

Added information about the 60-day publication and three public comments received.

Supporting Statement A

Section A10, pages 21-22

Renumbered attachments.

Supporting Statement A

Section A11, page 23

Added justification for the sexual orientation and gender identify items.

Supporting Statement A

Section A12, pages 23-25

Updated burden estimates to align with changes in Section A2.

Supporting Statement A

Section A14, page 25

Updated for clarity.

Supporting Statement A

Section A15, pages 26-27

Added the sexual orientation and gender identity items. Added section to clarify the decrease in respondent burden due to removal of COVID-19 items.

Supporting Statement A

Section A17, page 29

Updated attachment number.

Supporting Statement B

Page ii

Removed 60-day FRN

Supporting Statement B

Page ii

Renumbered attachments.

Supporting Statement B

Section B, page 1

Added sexual orientation and gender identity to the health equity items. Clarified information on COVID-19 items.

Supporting Statement B

Section B2 d., page 9

Updated interview type for Demographics and Income Questionnaire.

Supporting Statement B

Section B2 d. pages 11-17

Added sexual orientation and gender identity items. Clarified information on COVID-19 items.

Supporting Statement B

Section B2 d. pages 13-20

Renumbered attachments.

Supporting Statement B

Section B3, pages 22-23

Renumbered attachments.

Supporting Statement B

Section B4, page 25

Added content on cognitive testing of sexual orientation and gender identity items.

Attachment 2: Community Instrument (Baseline and Continuing) and Showcards

Demographics and Income (DIQ)

COVID-19 Questionnaire (CVQ)

Introduction (INQ)

Cognitive Measures (CMQ)

Added sexual orientation and gender identity items to DIQ. Updated sections with recent programming maintenance changes. Examples of programming maintenance updates include revisions to routing logic, interviewer help text, and changes to variable names.

Attachment 4: Facility Instrument (Baseline and Continuing) and Showcards

Beneficiary-Level COVID-19 (CV)

Facility-Level COVID-19 (FC)

Residence History (RH)

Use of Health Services (US)

Updated sections with recent programming maintenance changes. Examples of programming maintenance updates include revisions to routing logic, interviewer help text, and changes to variable names.

Attachment 8: 2016 Develop and Test Sexual and Gender Minority Status (LGBT) Items Final Summary Report

New attachment

Added Attachment 8: 2016 Develop and Test Sexual and Gender Minority Status (LGBT) Items Final Summary Report.



1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title2023 Full Clearance 30-day Crosswalk
Subject30-day Crosswalk
AuthorCMS
File Modified0000-00-00
File Created2022-04-05

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