CMS-10437.GenIC#14 - Medicare Beneficiary Consumer Survey

Generic Social Marketing & Consumer Testing Research (CMS-10437)

OMB: 0938-1247

IC ID: 228104

Information Collection (IC) Details

View Information Collection (IC)

CMS-10437.GenIC#14 - Medicare Beneficiary Consumer Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10437.GenIC#14 Medicare Beneficiary Consumer Survey CMS-10437.GenIC14_Medicare Beneficiary Consumer Survey_Instrument.docx Yes No Fillable Fileable

Health Health Care Services

 

4,800 0
   
Individuals or Households
 
   0 %

  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 4,800 0 4,800 0 0 0
Annual IC Time Burden (Hours) 1,200 0 1,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10437.GenIC#14.Supporting Statement CMS-10437. GenIC#14_Medicare Beneficiary Consumer Survey_SupportingStatement.docx 08/30/2017
CMS-10437.GenIC14_Medicare Beneficiary Consumer Survey_CoverPage CMS-10437.GenIC14_Medicare Beneficiary Consumer Survey_CoverPage.docx 08/30/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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