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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form CMS-10598 Stakeholder Training Survey Form and Instruction
CMS-10598 Stakeholder Survey CMS-10598 - StakeholderSurvey.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.