OMB
.report
Search
Survey of Medicare Beneficiaries Who Involuntarily Disenroll from Their Health Plan
Survey of Medicare Beneficiaries Who Involuntarily Disenroll from Their Health Plan
OMB: 0938-0817
IC ID: 8606
OMB.report
HHS/CMS
OMB 0938-0817
ICR 200012-0938-007
IC 8606
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0817 can be found here:
2001-10-01 - 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:
Survey of Medicare Beneficiaries Who Involuntarily Disenroll from Their Health Plan
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HCFA-10026
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,385
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
3,385
0
3,385
0
0
0
Annual IC Time Burden (Hours)
587
0
587
0
0
0
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.