Previous Terms
of Clearance/Comments: OMB approves this collection for a period of
three years. To request approval of information collections under
this generic approval, the agency must do the following: 1) Unless
an agency is using multiple modes of collection (e.g., paper forms
and electronic submissions), provide a Generic Clearance Submission
Template for each Instrument; 2) If the agency is using multiple
modes of collection (e.g., paper forms and electronic submissions),
the same Generic Clearance Submission Template may be used for both
instruments; 3) each Generic Clearance Submission Template must be
uploaded as a Supplementary document using a naming convention that
allows the public to identify the associated instrument; 4) submit
no more than five Generic Submission Templates with each request.
5) collections approved under this Generic will not be used to make
population estimates or to provide generalizable results.
Inventory as of this Action
Requested
Previously Approved
12/31/2020
36 Months From Approved
12/31/2017
61,992
0
41,592
26,588
0
21,488
0
0
0
The purpose of this submission is to
request an Information Collection Request (ICR) generic clearance
for a program of consumer research aimed at a broad audience of
those affected by CMS programs including Medicare, Medicaid,
Children's Health Insurance Program (CHIP), and health insurance
marketplace (a.k.a. "exchanges"). This program extends strategic
efforts to reach and tailor communications to beneficiaries,
caregivers, providers, stakeholders, and any other audiences that
would support the Agency in improving the functioning of the health
care system, improve patient care and outcomes, and reduce costs
without sacrificing quality of care. With the clearance, CMS will
create a proactive process for rapid collection of data to inform
development of communications as well as providing rapid feedback
on service delivery for continuous improvement of programs and
communications aimed at diverse CMS target audiences.
PL: Pub.L. 111 - 148 2601, 2602 Name of Law:
Affordable Care Act
PL: Pub.L. 111 - 148 3001, 3209 Name of Law: Affordable Care
Act
PL: Pub.L. 111 - 148 1103 Name of Law: Affordable Car Act
PL: Pub.L. 111 - 148 4004 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 2001 & 2101 Name of Law: Affordable Care
Act
PL: Pub.L. 111 - 148 1003 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 3022, 2706, 2703 Name of Law: Affordable Care
Act
PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
We have adjusted our estimates,
requesting an additional 5,100 hours for total of 26,588, save for
the hours we would like to rollover from the last approval. The
total rollover amount is 8,630 hours, leaving 17,958 for the
current submission.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form CMS-10437.GenIC#21 CMS-10437.GenIC#21 - Testing Form 500
CMS-10437.GenericExtension_Supporting Statement A_FINAL-12-21-17.doc
CMS-10437.GenericSMTestingItemBank_FINAL.docx
CMS-10437.GenIC#21 - Testing Form 500