OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

1-800 MEDICARE Beneficiary Satisfaction Survey (E-mail)

IC 196718 under ICR 201103-0938-003 · OMB 0938-0919.

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

1-800 MEDICARE Beneficiary Satisfaction Survey (E-mail)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction OMB E-mail and Web Chat Survey (1).docx Yes Yes Paper Only

Health Health Care Services

 

1,224 0
   
Individuals or Households
 
   100 %

  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 1,224 0 1,224 0 0 0
Annual IC Time Burden (Hours) 163 0 163 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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