Cover Sheet and table of Contents

D epartment of Health & Human Services

Centers for Medicare & Medicaid Services

Center for Consumer Information and Insurance Oversight

200 Independence Avenue SW

Washington, DC 20201

Request for Renewal under the “Generic Clearance for the Collection of Routine Customer Feedback”

OMB Control Number: 0938-1185

Type of Information Collection

Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs

August 17, 2015

Table of Contents

Contents

Background

Purpose 1

Description of Respondents 2

Type of Collection 2

Certification 2

Burden Hours 3

Federal Cost 3

Instruments

On-site Post-Training Survey (Hardcopy) 5

On-site Post-Training Survey (Hardcopy) 7

Webinar Post-Training Participant Survey 10

Webinar Post-Training Participant Survey 10

User Group Post-Training Participant Survey 12

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