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Federal forms, ICRs, and supporting documents

Information Collection

Usability Testing for the Health Insurance Marketplace Websites: Health Insurance Marketplave Consumer Experiernce Surveys Project

IC 212692 under ICR 201412-0938-006 · OMB 0938-1185.

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

View Information Collection (IC)

Usability Testing for the Health Insurance Marketplace Websites: Health Insurance Marketplave Consumer Experiernce Surveys Project
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10533 Consumer Usability Testing Guide, and Screeners Consumer Usability Attachments081814.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

90 0
   
Individuals or Households
 
   0 %

  Requested 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 90 0 0 0 0 90
Annual IC Time Burden (Hours) 135 0 0 0 0 135
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Usability Testing for the Health Insurance Marketplace Generic Clearance Submission_ConUsab_08062014_clean.doc 08/18/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.