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Assessing the Division of Beneficiary Inquiry Service's Performance for Written Responses
Assessing the Division of Beneficiary Inquiry Service's Performance for Written Responses
OMB: 0938-0894
IC ID: 8726
OMB.report
HHS/CMS
OMB 0938-0894
ICR 200501-0938-008
IC 8726
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0894 can be found here:
2015-12-09 - No material or nonsubstantive change to a currently approved collection
2014-10-28 - Reinstatement with 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:
Assessing the Division of Beneficiary Inquiry Service's Performance for Written Responses
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
CMS-10068
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,872
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
2,872
0
0
0
0
2,872
Annual IC Time Burden (Hours)
287
0
0
0
0
287
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.