155.225(d)(1) and (7) Training Quality Optional Questionnaire

Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494)

OMB: 0938-1205

IC ID: 216271

Information Collection (IC) Details

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155.225(d)(1) and (7) Training Quality Optional Questionnaire
 
No Modified
 
Voluntary
 
45 CFR 155.225

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10494 Training Quality Questionnaire CMS-10494 - Appendix F_Training Quality Questionnaire.docx Yes Yes Fillable Fileable

Health Health Care Services

 

60,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 60,000 0 0 30,000 0 30,000
Annual IC Time Burden (Hours) 15,000 0 0 7,500 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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