Daily Rules, Proposed Rules, and Notices of the Federal Government


Centers for Medicare & Medicaid Services

[Document Identifier: CMS-372 and CMS-R-54]

Agency Information Collection Activities: Proposed Collection; Comment Request

AGENCY: In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid Services (CMS) is publishing the following summary of proposed collections for public comment. Interested persons are invited to send comments regarding this burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

1.Type of Information Collection Request:Revision of a currently approved collection;Title of Information Collection:Annual Report on Home and Community Based Services Waivers and Supporting Regulations in 42 CFR 440.180 and 441.300-310.;Use:States within an approved waiver under section 1915(c) of the act are required to submit a report annually in order for CMS to: (1) Verify that State assurances regarding waiver cost-neutrality are met; and (2) Determine the waiver's impact on the type, amount, and cost of services provided under the State Plan and health welfare of recipients.Form Number:CMS-372 (OMB# 0938-0272);Frequency:Yearly;Affected Public:State, Local, or Tribal Governments;Number of Respondents:49;Total Annual Responses:305;Total Annual Hours:13,115.

2.Type of Information Collection Request:Revision of a currently approved collection;Title of Information Collection:National Medicare & You Education Program (NMEP) Survey of Medicare BeneficiariesUse:The Centers for Medicare and Medicaid Services is requesting a revision of this information collection request to continue to collect information from Medicare beneficiaries, caregivers, health care providers, and health information providers. It is critical for this agency to obtain feedback from the aforementioned groups so that the agency can accurately assess the needs of the Medicare audience. Using random digit dial and/or an administrative sample, members of the Medicare audience will be called and asked to complete the survey via telephone. The results of this survey will be compiled and studied so that communication may be amended to benefit Medicare's audience. The survey has the following objectives: To assess satisfaction with and knowledge of the Medicare program; to gather information on health behaviors and quality of health care; to determine the most used source for Medicare information; and to gather information from health care provider and health information providers.Form Number:CMS-R-54 (OMB# 0938-0738);Frequency:Once;Affected Public:Individuals and Households, Private Sector--Business or other for-profits;Number of Respondents:7,000;Total Annual Responses:7,000;Total Annual Hours:1,750.

To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS' Web site at, or E-mail your request, including your address, phone number, OMB number, and CMS document identifier,, or call theReports Clearance Office on (410) 786-1326.

In commenting on the proposed information collections please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in one of the following ways November 25, 2008:

1.Electronically.You may submit your comments electronically to the instructions for "Comment or Submission" or "More Search Options" to find the information collection document(s) accepting comments.

2.By regular mail.You may mail written comments to the following address:CMS, Office of Strategic Operations and Regulatory Affairs,Division of Regulations Development,Attention: Document Identifier/OMB Control Number _____,Room C4-26-05,7500 Security Boulevard,Baltimore, Maryland 21244-1850.

Dated: September 18, 2008. Michelle Shortt, Director, Regulations Development Group,Office of Strategic Operations and Regulatory Affairs.