Information Collection

Stakeholder Training Survey

IC 224172 under ICR 201610-0938-009 · OMB 0938-1331.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1331 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10598 Stakeholder Training Survey	Form and Instruction
CMS-10598 Stakeholder Survey CMS-10598 - StakeholderSurvey.docx	Form and Instruction

IC Title:

Stakeholder Training Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10598	Stakeholder Survey	CMS-10598 - StakeholderSurvey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 112,912

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	112,912	112,912
Annual IC Time Burden (Hours)	28,228	28,228
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.