Information Collection

Assessing the Division of Beneficiary Inquiry Service's Performance for Written Responses

IC 37921 under ICR 200605-0938-012 · OMB 0938-0894.

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Information Collection (IC) Details

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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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,089	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,089	2,217	2,872
Annual IC Time Burden (Hours)	509	222	287
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.