Medicare Plan Finder User Satisfaction Survey

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

OMB: 0938-1185

IC ID: 227719

Information Collection (IC) Details

View Information Collection (IC)

Medicare Plan Finder User Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10415 CMS-10415. Fast Track Medicaregov - Medicare Plan Finder Survey CMS-10415. Fast Track Medicaregov - Medicare Plan Finder Survey.docx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

25,000 0
   
Individuals or Households
 
   100 %

  Approved 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 25,000 0 25,000 0 0 0
Annual IC Time Burden (Hours) 833 0 833 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Medicare Plan Finder Survey Clearance Template CMS-10415.Medicaregov Medicare Plan Finder Survey - Clearance Template.doc 07/26/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy