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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10437.GenIC#28 Marketplace and Medicare Health Insurance Literacy Survey	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#27 Nursing Outreach Discussion Guide	Form and Instruction	New	Repair queued
Form CMS-10427 (GenIC#2 Nursing Home Career Outreach Tracker	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#25 Medicare Savings Program and Extra Help Awareness Survey	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#23 CMS-10437.GenIC#23 - OE Marketplace Customer Service Surve	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#23 GenIC #23 Marketplace OE survey	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC #2 CMS-10437.GenIC #22 - CMS Beneficiary Telemedicine Survey- Questionnaire REV.docx	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC #2 GenIC #22.Medicare Telehealth Beneficiary Survey	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#20 CMS-10437.GenIC#20 -Qualitative Panel Survey (final).docx	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#20 GenIC #20 Medicare Online Qualitative Panel Monthly Survey	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#17 CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#17 GenIC #17 Formative Research and Materials Testing for Medicare	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#16 CMS-10437.GenIC#16 - MedicareCreativeTesting_FGguide_FINAL	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#16 GenIC #16 Qualitative Testing of Creative Materials for Medicare	Form and Instruction	New	Repair queued
Form CMS-10437. GenIC#1 CMS-10437. GenIC#13 - ProviderDecisionSupport_ModGuide_FINAL.docx	Form and Instruction	New	Repair queued
Form CMS-10437. GenIC#1 GenIC #13: Qualitative Research on Communications and Decision Support for Provider Initiatives	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#11 CMS-10437.GenIC#11.WebToolsResearch_Instrument_FINAL	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#11 GenIC #11: CMS Consumer Research on Websites and Tools	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#10 CMS-10437.GenIC#10 - QPPTracker_Survey_FINAL	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#10 GenIC #10: Quality Payment Program Provider Awareness Tracking Survey	Form and Instruction	New	Repair queued
Form CMS-10437(GenIC#8) CMS-10437(GenIC#8) QualitativeTestingCreativeMaterials_FocusGroupguide_	Form and Instruction	New	Repair queued
Form CMS-10437(GenIC#8) GenIC #8: Qualitative Testing of Creative Materials	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#7 CMS-10437.GenIC#7 - Marketplace 2017_FGGuide_FINAL_10_26_16	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC#7 GenIC #7: Formative Research on Communications and Decision Support in Marketplace	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC #3 CMS-10437.GenIC #3 - OMB OE POSTCAMPAIGN SURVEY	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC #3 CMS-10437.GenIC #3 -OMB OE PRE CAMPAIGN SURVEY	Form and Instruction	New	Repair queued
Form CMS-10437.GenIC #3 GenIC #3: Medicare Open Enrollment Survey	Form and Instruction	New	Repair queued
CMS-10437.SupportingStatement_B (30-day).docx	Supporting Statement B	Uploaded 2020-12-29	Repair queued
CMS-10437.SupportingStatement_A (30-day).docx	Supporting Statement A	Uploaded 2020-12-29	Repair queued
CMS-10437.GenericSMTestingItemBank (30-day).pdf	Supplementary Document	Uploaded 2020-11-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
265762	CMS-10437.GenIC#28 - Marketplace and Medicare Health Insurance Literacy Survey	Form and Instruction	New	Marketplace and Medicare Health Insurance Literacy Survey
262595	CMS-10437. GenIC#27 - Qualitative Testing of Message Concepts for Nursing Home Career Outreach	Form and Instruction	New	Nursing Outreach Discussion Guide
262594	CMS-10437.GenIC #26 - Nursing Home Career Outreach Tracker	Form and Instruction	New	Nursing Home Career Outreach Tracker
260577	GenIC #25: Medicare Savings Program and Extra Help Awareness Survey	Form and Instruction	New	Medicare Savings Program and Extra Help Awareness Survey
244552	GenIC #23 Marketplace OE survey	Form and Instruction	New	CMS-10437.GenIC#23 - OE Marketplace Customer Service Surve
244552	GenIC #23 Marketplace OE survey	Form and Instruction	New
244551	GenIC #22.Medicare Telehealth Beneficiary Survey	Form and Instruction	New	CMS-10437.GenIC #22 - CMS Beneficiary Telemedicine Survey- Questionnaire REV.docx
244551	GenIC #22.Medicare Telehealth Beneficiary Survey	Form and Instruction	New
244550	GenIC #20 Medicare Online Qualitative Panel Monthly Survey	Form and Instruction	New	CMS-10437.GenIC#20 -Qualitative Panel Survey (final).docx
244550	GenIC #20 Medicare Online Qualitative Panel Monthly Survey	Form and Instruction	New
244549	GenIC #17 Formative Research and Materials Testing for Medicare	Form and Instruction	New	CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL
244549	GenIC #17 Formative Research and Materials Testing for Medicare	Form and Instruction	New
244548	GenIC #16 Qualitative Testing of Creative Materials for Medicare	Form and Instruction	New	CMS-10437.GenIC#16 - MedicareCreativeTesting_FGguide_FINAL
244548	GenIC #16 Qualitative Testing of Creative Materials for Medicare	Form and Instruction	New
244547	GenIC #13: Qualitative Research on Communications and Decision Support for Provider Initiatives	Form and Instruction	New	CMS-10437. GenIC#13 - ProviderDecisionSupport_ModGuide_FINAL.docx
244547	GenIC #13: Qualitative Research on Communications and Decision Support for Provider Initiatives	Form and Instruction	New
244546	GenIC #11: CMS Consumer Research on Websites and Tools	Form and Instruction	New	CMS-10437.GenIC#11.WebToolsResearch_Instrument_FINAL
244546	GenIC #11: CMS Consumer Research on Websites and Tools	Form and Instruction	New
244545	GenIC #10: Quality Payment Program Provider Awareness Tracking Survey	Form and Instruction	New	CMS-10437.GenIC#10 - QPPTracker_Survey_FINAL
244545	GenIC #10: Quality Payment Program Provider Awareness Tracking Survey	Form and Instruction	New
244544	GenIC #8: Qualitative Testing of Creative Materials	Form and Instruction	New	CMS-10437(GenIC#8) QualitativeTestingCreativeMaterials_FocusGroupguide_
244544	GenIC #8: Qualitative Testing of Creative Materials	Form and Instruction	New
244543	GenIC #7: Formative Research on Communications and Decision Support in Marketplace	Form and Instruction	New	CMS-10437.GenIC#7 - Marketplace 2017_FGGuide_FINAL_10_26_16
244543	GenIC #7: Formative Research on Communications and Decision Support in Marketplace	Form and Instruction	New
244542	GenIC #3: Medicare Open Enrollment Survey	Form and Instruction	New	CMS-10437.GenIC #3 - OMB OE POSTCAMPAIGN SURVEY
244542	GenIC #3: Medicare Open Enrollment Survey	Form and Instruction	New	CMS-10437.GenIC #3 -OMB OE PRE CAMPAIGN SURVEY
244542	GenIC #3: Medicare Open Enrollment Survey	Form and Instruction	New

ICR Details

OMB Control No: 0938-1247	ICR Reference No: 202011-0938-009
Status: Historical Active	Previous ICR Reference No: 201708-0938-025
Agency/Subagency: HHS/CMS	Agency Tracking No: OC
Title: Generic Social Marketing & Consumer Testing Research (CMS-10437)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/02/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/29/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2024	36 Months From Approved	09/30/2021
Responses	61,992	0	61,992
Time Burden (Hours)	26,588	0	26,588
Cost Burden (Dollars)	0	0	0

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Abstract: 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.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1103 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 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 Sec 3022, 2706, 2703 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 10303, 10327, 10331, 2701 Name of Law: Affordable Care 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
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
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 3022, 2706, 2703 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 1003 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

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 51722	08/21/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 68332	10/28/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 15

table that charts list of burden

IC Title	Form No.	Form Name
CMS-10437. GenIC#27 - Qualitative Testing of Message Concepts for Nursing Home Career Outreach	CMS-10437.GenIC#27	Nursing Outreach Discussion Guide
CMS-10437.GenIC #26 - Nursing Home Career Outreach Tracker	CMS-10427 (GenIC#26)	Nursing Home Career Outreach Tracker
CMS-10437.GenIC#28 - Marketplace and Medicare Health Insurance Literacy Survey	CMS-10437.GenIC#28	Marketplace and Medicare Health Insurance Literacy Survey
GenIC #10: Quality Payment Program Provider Awareness Tracking Survey	CMS-10437.GenIC#10	CMS-10437.GenIC#10 - QPPTracker_Survey_FINAL
GenIC #11: CMS Consumer Research on Websites and Tools	CMS-10437.GenIC#11	CMS-10437.GenIC#11.WebToolsResearch_Instrument_FINAL
GenIC #13: Qualitative Research on Communications and Decision Support for Provider Initiatives	CMS-10437. GenIC#13	CMS-10437. GenIC#13 - ProviderDecisionSupport_ModGuide_FINAL.docx
GenIC #16 Qualitative Testing of Creative Materials for Medicare	CMS-10437.GenIC#16	CMS-10437.GenIC#16 - MedicareCreativeTesting_FGguide_FINAL
GenIC #17 Formative Research and Materials Testing for Medicare	CMS-10437.GenIC#17	CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL
GenIC #20 Medicare Online Qualitative Panel Monthly Survey	CMS-10437.GenIC#20	CMS-10437.GenIC#20 -Qualitative Panel Survey (final).docx
GenIC #22.Medicare Telehealth Beneficiary Survey	CMS-10437.GenIC #22	CMS-10437.GenIC #22 - CMS Beneficiary Telemedicine Survey- Questionnaire REV.docx
GenIC #23 Marketplace OE survey	CMS-10437.GenIC#23	CMS-10437.GenIC#23 - OE Marketplace Customer Service Surve
GenIC #25: Medicare Savings Program and Extra Help Awareness Survey	CMS-10437.GenIC#25	Medicare Savings Program and Extra Help Awareness Survey
GenIC #3: Medicare Open Enrollment Survey	CMS-10437.GenIC #3 , CMS-10437.GenIC #3	CMS-10437.GenIC #3 -OMB OE PRE CAMPAIGN SURVEY ,   CMS-10437.GenIC #3 - OMB OE POSTCAMPAIGN SURVEY
GenIC #7: Formative Research on Communications and Decision Support in Marketplace	CMS-10437.GenIC#7 - Marketplace 2017_FGGuide_FINAL	CMS-10437.GenIC#7 - Marketplace 2017_FGGuide_FINAL_10_26_16
GenIC #8: Qualitative Testing of Creative Materials	CMS-10437(GenIC#8)	CMS-10437(GenIC#8) QualitativeTestingCreativeMaterials_FocusGroupguide_

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	61,992	61,992	0	0	0	0
Annual Time Burden (Hours)	26,588	26,588	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $2,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/29/2020

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