CMS-10549.GenIC #5: MCBS Testing Revisions to Advance Mailing Materials

Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS) (CMS-10549)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1275 can be found here:

Documents and Forms

Document Name Document Type
MCBS Current Brochure.pdf Instruction
MCBS New FAQ text.docx Instruction
MCBS Revised Brochure text only.docx Instruction
CMS-10549.GenIC#5 - Mini Supporting Statement.docx Mini Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	CMS-10549.GenIC #5: MCBS Testing Revisions to Advance Mailing Materials	Agency IC Tracking Number:	OEDA

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Instruction	MCBS Current Brochure.pdf	No	Paper Only
Instruction	MCBS New FAQ text.docx	No	Paper Only
Instruction	MCBS Revised Brochure text only.docx	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini Supporting Statement	CMS-10549.GenIC#5 - Mini Supporting Statement.docx	01/22/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.