The Annual Medicare Contractor Provider Satisfaction Survey (MCPSS): (CMS-10097)

Medicare Contractor Provider Satisfaction Survey (MCPSS) and Supporting Regulations in 42 CFR 421.120, 421.122 and 421.201

OMB: 0938-0915

IC ID: 8757

Information Collection (IC) Details

View Information Collection (IC)

The Annual Medicare Contractor Provider Satisfaction Survey (MCPSS): (CMS-10097)
 
No Modified
 
Voluntary
 
42 CFR 421.120 42 CFR 421.122 42 CFR 421.201

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10097 Medicare Contractor Provider Satisfaction Survey 2010 Section 3 - MCPSS 2010 Survey Instrument - New 5-pt scale (Repaired 6-10-09) ll comments.doc Yes Yes Paper Only

Health Health Care Services

 

25,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   15 %

  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 25,000 0 721 0 0 24,279
Annual IC Time Burden (Hours) 9,349 0 1,003 0 0 8,346
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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