CMS Tribal LTSS Program Survey

Third Follow-up Email
Greetings:
Two weeks ago we contacted you asking for your help with the CMS Tribal LTSS Program Survey. We are
writing to you again because our ability to collect accurate information on tribally run LTSS programs
depends on hearing from those who have not yet responded.
To complete the questionnaire, click on the link below. Responses to the survey are voluntary.
Insert link
If you have any questions about the survey, please send them to [email protected].
We hope you will consider participating in this important effort to gather and share knowledge and best
practices on LTSS in Indian Country. If you are unable to complete the survey, Kauffman & Associates,
inc. (KAI) staff will follow-up with you by phone and ask whether you would like to receive the survey a
final time by either email or fax.
Thank you,

The Research Team at KAI

ID No: CMS-10651 | PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0938-New (Expires: TBD). The time required to complete this information collection is estimated to average 15
minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments
concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05,
Baltimore, Maryland 21244-1850.