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

ICR 202407-0938-007

OMB: 0938-0568

Federal Form Document

Forms and Documents
Document
Name
Status
Form
 Modified
Supporting Statement A
2024-07-24
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supporting Statement B
2024-07-11
Supplementary Document
2023-09-11
Supplementary Document
2023-06-26
Supplementary Document
2022-03-29
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2022-03-29
Supplementary Document
2023-06-26
Supplementary Document
2022-03-29
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2020-11-23
Supplementary Document
2023-06-26
Supplementary Document
2020-11-23
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2024-07-11
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2023-06-26
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2024-07-11
Supplementary Document
2023-06-26
IC Document Collections
IC ID
Document
Title
Status
8171 Modified
ICR Details
0938-0568 202407-0938-007
Received in OIRA 202404-0938-001
HHS/CMS OEDA
Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)
Revision of a currently approved collection   No
Regular 07/24/2024
  Requested Previously Approved
36 Months From Approved 08/31/2025
35,015 35,015
35,344 34,368
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 purpose of this revision is to seek approval for CMS to add new items related to beneficiary-centric provisions of the Inflation Reduction Act (IRA) of 2022 to the MCBS Community Questionnaire beginning in 2025 . The new items cover improved measures, streamlined content, and the addition of important IRA-related topics as requested by OMB in their terms of clearance specified in the approval of the 2024 MCBS.
PL: Pub.L. 108 - 173 723 Name of Law: Medicare Prescription Drug, Improvement, and Modernization Act
   PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
  
None
Not associated with rulemaking
  89 FR 32435 04/26/2024
89 FR 57901 07/16/2024
Yes
1
IC Title Form No. Form Name
Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A) CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, P-0015A, P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A, CMS-P-0015A Cost Payment Summary ,   Demographic Income ,   End Questionaire ,   Enumeration Summary ,   Mobility of Beneficiaries ,   Post Statement Cost ,   Access to Care ,   Chronic Pain ,   Dental, Vision, and Hearing Care Utilization ,   Drug Coverage ,   Emergency Utilization ,   Health Insurance ,   Home Health ,   Housing_Characteristics ,   Income_and_ Assets ,   Inpatient Utilization ,   Institutional Utilization ,   Introduction ,   Medical Provider Utilzation ,   Nicotine Alcohol ,   No Statement Cost ,   Other Medical Expense ,   Outpatient Utilization ,   Prescribed Medicine Utilization ,   Satisfaction Care ,   Statement Cost Series ,   Beneficiary Knowledge ,   Preventive Care ,   Usual Source of Care ,   Showcards and Reference Cards ,   Facility Showcards ,   Facility Screener ,   Residence History Missing Data ,   Residence History ,   Use of Health Services ,   Background_Questionnaire ,   Background_Questionnaire MIssing Data ,   Expenditures ,   Questionaire Missing Data ,   Questionaire ,   Health_Insurance ,   Health_Status ,   Cognitive Measures ,   HFQ - Health Status and Functioning ,   Physical_Measures ,   COVID-19 Questionnaire Specifications ,   COVID-19 Facility-Level Supplement ,   Use of Health Services Section Specifications ,   Telemedicine Questionnaire ,   Physical Measures Frequently Asked Questions (FAQ) Sheet ,   Immunization ,   Health_Status ,   Interviewer_Remarks
  Total Request 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 35,015 35,015 0 0 0 0
Annual Time Burden (Hours) 35,344 34,368 0 976 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The revisions include the addition of 52 items, the migration of four existing items, and the deletion of 26 items that result in a net burden increase of 6.4 minutes. As a result, the total burden has increased to 35,344 from the previously approved total burden of 34,368. This is a net increase of 976 burden hours annually.
$24,400,000
Yes Part B of Supporting Statement
    No
    No
Yes
No
No
No
Stephan McKenzie 410 786-1943 [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.
07/24/2024
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