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National Medicare Training Program Needs Assessment Survey (Private Sector)
National Medicare Training Program Needs Assessment Survey
OMB: 0938-1063
IC ID: 186881
OMB.report
HHS/CMS
OMB 0938-1063
ICR 200810-0938-010
IC 186881
( )
Documents and Forms
Document Name
Document Type
Form CMS-10257
National Medicare Training Program Needs Assessment Survey (Private Sector)
Form and Instruction
CMS-10257 CMS-10257. Collection Instrument - Phone Version
CLEAN-DRAFT NMTP Needs Assessment Survey_PHONE VERSION_042109.doc
Form and Instruction
CMS-10257 CMS-10257. Collection Instrument - Web Version
CLEAN-DRAFT NMTP Needs Assessment Survey_WEB VERSION_042109.doc
Form and Instruction
Survey DRAFT email reminder_012408Fi _2_.pdf
CMS-10257. Email Reminder
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Medicare Training Program Needs Assessment Survey (Private Sector)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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 and Instruction
CMS-10257
CMS-10257. Collection Instrument - Web Version
CLEAN-DRAFT NMTP Needs Assessment Survey_WEB VERSION_042109.doc
Yes
No
Fillable Fileable
Form and Instruction
CMS-10257
CMS-10257. Collection Instrument - Phone Version
CLEAN-DRAFT NMTP Needs Assessment Survey_PHONE VERSION_042109.doc
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,720
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
50 %
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
1,720
0
1,720
0
0
0
Annual IC Time Burden (Hours)
430
0
430
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CMS-10257. Email Reminder
Survey DRAFT email reminder_012408Fi _2_.pdf
08/26/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.