Beneficiary Contact Center Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (CMS-10415)

OMB: 0938-1185

IC ID: 219431

Information Collection (IC) Details

View Information Collection (IC)

Beneficiary Contact Center Customer Satisfaction Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10415 IVR Phone Script for Survey IVR Phone Script.docx Yes Yes Fillable Fileable

Health Health Care Services

 

145,000 0
   
Individuals or Households
 
   100 %

  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 145,000 0 0 0 0 145,000
Annual IC Time Burden (Hours) 5,776 0 0 0 0 5,776
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IVR Survey Submission Form IVR Survey Submission form.doc 12/29/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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