Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline

ICR 199901-0938-004

OMB: 0938-0737

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0737 199901-0938-004
Historical Active 199808-0938-004
HHS/CMS
Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline
Extension without change of a currently approved collection   No
Regular
Approved without change 03/09/1999
Retrieve Notice of Action (NOA) 01/08/1999
Approved for use through 3/2002 under the condition that HCFA annually submits to OMB a cummulative report on this survey which includes an analysis of the characteristics of nonresponse bias.
  Inventory as of this Action Requested Previously Approved
03/31/2002 03/31/2002 03/31/1999
1,050 0 1,050
175 0 175
0 0 0

A sample of callers to the Medicare+Choice hotline will be called back to obtain information about their satisfaction with the interaction with the customer service representatives, whether additonal calls to other sources were necessary to get the information or resolve the problem that prompted the call, and whether they would call the hotline in the future. Problems that are mentioned during these call-backs will be tallied to identify those that appear to be systematic, and changes will be made in the operations and in operator training to avoid such problems in the future.

None
None


No

1
IC Title Form No. Form Name
Call-Back Survey of Callers to the Medicare+Choice Toll-Free Hotline HCFA-R-253

  Total Approved 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 1,050 1,050 0 0 0 0
Annual Time Burden (Hours) 175 175 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
01/08/1999


© 2024 OMB.report | Privacy Policy