[Federal Register Volume 77, Number 97 (Friday, May 18, 2012)]
[Notices]
[Pages 29644-29645]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-12080]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10389]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
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: New collection (Request
for a new OMB control number). Title of Information Collection: The
Home and Community-Based Service (HCBS) Experience Survey. Use: This
study is a one-time pilot field test involving individuals who receive
HCBS from Medicaid programs. The field test to be conducted under this
request will be done for the following purposes: (a) To assess survey
methodology--to determine how well a face-to-face survey and telephone
survey performs with individuals who receive HCBS services. (b)
Psychometric Analysis--to
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provide information for the revision and shortening of the survey based
on the assessment of the reliability and construct validity of survey
items and composites. (c) Case mix adjustment analysis--Assess the
variables that may be considered as case mix adjusters.
These preliminary research activities are not required by
regulation, and will not be used by CMS to regulate or sanction its
customers. They will be entirely voluntary and the confidentiality of
respondents and their responses will be preserved.
The information collected will be used to revise and test the
survey instrument described in the Background section of the Supporting
Statement. Within the PRA package, Attachment B includes two versions
of the survey (one modified for accessibility) and Attachment C has the
introductory information. The end result will be an improvement in
information collection instruments and in the quality of data
collected, a reduction or minimization of respondent burden, increased
agency efficiency, and improved responsiveness to the public. Following
the field test, CMS will seek approval from the CAHPS consortium for
the HCBS Experience Survey to be a new addition to the CAHPS[supreg]
family of surveys.
Form Number: CMS-10389 (OCN 0938-New). Frequency: Once. Affected
Public: 1 Individuals and households. Number of Respondents: 18,000.
Total Annual Responses: 18,000. Total Annual Hours: 9,000. (For policy
questions regarding this collection contact Anita Yuskauskas at 410-
786-0268. For all other issues call 410-786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web Site address at http://www.cms.hhs.gov/PaperworkReductionActof1995,
or Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected], or call
the Reports 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 by July 17, 2012:
1. Electronically. You may submit your comments electronically to
http://www.regulations.gov. Follow 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: May 15, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-12080 Filed 5-17-12; 8:45 am]
BILLING CODE 4120-01-P