Information Collection
Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721)
IC 238683 under ICR 201904-0938-017 · OMB 0938-1185.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1185 can be found here:
Documents and Forms
| Document Name | Document Type |
|---|---|
Form CMS-10721Final Persistent Website Feedback Survey Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721) |
Form and Instruction |
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Form CMS-10721 Final Persistent Website Feedback Survey (Spanish) Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721) |
Form and Instruction |
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Form CMS-10721 Final Persistent Portal Feedback Survey Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721) |
Form and Instruction |
|
Form CMS-10721 Final Persistent Portal Feedback Survey (Spanish) Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721) |
Form and Instruction |
Information Collection (IC) Details
| IC Title | Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721) |
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