Information Collection

National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries

IC 8416 under ICR 200509-0938-008 · OMB 0938-0738.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0738 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	National Medical & You Education Program (NMEP) Survey of Medicare Beneficiaries	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-R-254				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 22,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,700	3,300	2,400
Annual IC Time Burden (Hours)	1,425	825	600
Annual IC Cost Burden (Dollars)	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.