Formative Research on Communications and Decision Support in Marketplace 2017

Generic Social Marketing & Consumer Testing Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1247 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10427. GenIC#7 Formative Research on Communications and Decision Support in Marketplace 2017 Form and Instruction
CMS-10427. GenIC#7 Marketplace 2017 Focus Group Guide CMS-10437. (GenIC#7) Marketplace 2017_FGGuide_FINAL_10_26_16.docx Form and Instruction
CMS-10437. (GenIC#7) Marketplace 2017_Supporting Statement_FINAL_10_26_16.docx CMS-10437.(GenIC#7). Supporting Statement IC Document
CMS-10437.Justification for Providing Incentives for Participation in Marketing Research_Consumer Qualitative Research.docx Justification for Providing Incentives IC Document

Information Collection (IC) Details

IC Title:	Formative Research on Communications and Decision Support in Marketplace 2017	Agency IC Tracking Number:

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-10427. GenIC#7	Marketplace 2017 Focus Group Guide	CMS-10437. (GenIC#7) Marketplace 2017_FGGuide_FINAL_10_26_16.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	900	900
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CMS-10437.(GenIC#7). Supporting Statement	CMS-10437. (GenIC#7) Marketplace 2017_Supporting Statement_FINAL_10_26_16.docx	11/10/2016
Justification for Providing Incentives	CMS-10437.Justification for Providing Incentives for Participation in Marketing Research_Consumer Qualitative Research.docx	11/10/2016

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