MSInteractive Survey Tool for www.medicare.gov

ICR 200201-0938-005

OMB: 0938-0756

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
8470 Migrated
ICR Details
0938-0756 200201-0938-005
Historical Active 199904-0938-003
HHS/CMS
MSInteractive Survey Tool for www.medicare.gov
Revision of a currently approved collection   No
Regular
Approved without change 03/08/2002
Retrieve Notice of Action (NOA) 01/10/2002
Approved for use through 3/2005 under the condition that CMS immediately incorporates the burden disclosure statements mandated by the Paperwork Reduction Act of 1995. CMS must submit to OMB for the public record a hard copy of the revised website including the disclosures.
  Inventory as of this Action Requested Previously Approved
03/31/2005 03/31/2005 06/30/2002
7,000 0 212,185
583 0 21,221
0 0 0

DHHS has developed a survey tool using MSInteractive to obtain feeback from users accessing www.medicare.gov to guide future improvements.

None
None


No

1
IC Title Form No. Form Name
MSInteractive Survey Tool for www.medicare.gov CMS-R-268

  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 7,000 212,185 0 -205,185 0 0
Annual Time Burden (Hours) 583 21,221 0 -20,638 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
01/10/2002


© 2024 OMB.report | Privacy Policy