Information Collection

1-800 MEDICARE Beneficiary Satisfaction Survey (Interactive Voice Response-IVR)

IC 8763 under ICR 201103-0938-003 · OMB 0938-0919.

Documents and Forms

Document Name Document Type
OMB IVR Phone Script(1).docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	1-800 MEDICARE Beneficiary Satisfaction Survey (Interactive Voice Response-IVR)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Instruction			OMB IVR Phone Script(1).docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,700	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	14,700	1,668	13,032
Annual IC Time Burden (Hours)	2,204	575	1,629
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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