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Agency Information Collection Activities: Submission for OMB Review; Comment Request

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Information about this document as published in the Federal Register.

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In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services, has submitted to the Office of Management and Budget (OMB) the following proposal for the collection of information. Interested persons are invited to send comments regarding the 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 Start Printed Page 52140the 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.

Type of Information Collection Request: Reinstatement, without change, of a previously approved collection for which approval has expired.

Title of Information Collection: Survey of Medicare Beneficiaries Who Involuntarily Disenroll from their Health Plan.

Form No.: CMS-10026 (OMB# 0938-0817).

Use: In January 2002, many managed care plans are expected to withdraw from Medicare or reduce their service area. This will continue a trend that began in January 1999. CMS wishes to survey approximately 3,600 affected beneficiaries in early 2002 to determine how they were impacted by the withdrawals and whether they received sufficient information about options for replacing their managed care coverage.

Frequency: Other: One-Time.

Affected Public: Individuals or Households.

Number of Respondents: 3,600.

Total Annual Responses: 3,600.

Total Annual Hours: 684.

To obtain copies of the supporting statement for the proposed paperwork collections referenced above, access CMS's Web Site address at​regs/​prdact95.htm, or e-mail your request, including your address and phone number, to, or call the Reports Clearance Office on (410) 786-1326. Written comments and recommendations for the proposed information collections must be mailed within 30 days of this notice directly to the OMB Desk Officer designated at the following address: OMB Human Resources and Housing Branch, Attention: Allison Eydt, New Executive Office Building, Room 10235, Washington, DC 20503.

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Dated: September 25, 2001.

John P. Burke III,

CMS Reports Clearance Officer, CMS, Office of Information Services, Security and Standards Group, Division of CMS Enterprise Standards.

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[FR Doc. 01-25688 Filed 10-11-01; 8:45 am]