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Medicare - Questions On Other Insurance Available To Medicare Beneficary
MEDICARE - QUESTIONS ON OTHER INSURANCE AVAILABLE TO MEDICARE BENEFICARY
OMB: 0938-0214
IC ID: 113137
OMB.report
HHS/CMS
OMB 0938-0214
ICR 198801-0938-006
IC 113137
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0214 can be found here:
2013-10-25 - Reinstatement without change of a previously approved collection
2009-06-15 - Reinstatement without change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
MEDICARE - QUESTIONS ON OTHER INSURANCE AVAILABLE TO MEDICARE BENEFICARY
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HCFA-9009
No
No
Form
HCFA-L-365
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,854,074
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3,854,074
0
3,081,000
0
0
773,074
Annual IC Time Burden (Hours)
336,933
0
246,480
0
0
90,453
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.