GenIC #20 Medicare Online Qualitative Panel Monthly Survey

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

OMB: 0938-1247

IC ID: 244550

Information Collection (IC) Details

View Information Collection (IC)

GenIC #20 Medicare Online Qualitative Panel Monthly 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#20 CMS-10437.GenIC#20 -Qualitative Panel Survey (final).docx CMS-10437.GenIC#20 -Qualitative Panel Survey (final).docx Yes Yes Fillable Fileable

Health Health Care Services

 

500 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 6,000 0 6,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10437.GenIC#20 - Medicare Online Qualitative Panel Monthly Survey Supporting Statement (final 8-4-20) CMS-10437.GenIC#20 - Medicare Online Qualitative Panel Monthly Survey Supporting Statement (final 8-4-20).docx 11/19/2020
CMS-10437.GenIC#20 - Medicare Online Panel CoverPage (final).docx CMS-10437.GenIC#20 - Medicare Online Panel CoverPage (final).docx 11/19/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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