Information Collection

CMS-10437. GenIC#27 - Qualitative Testing of Message Concepts for Nursing Home Career Outreach

IC 262595 under ICR 202011-0938-009 · OMB 0938-1247.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1247 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10437.GenIC#27 Nursing Outreach Discussion Guide CMS-10437. GenIC#27 - Qualitative Testing of Message Concepts for Nursing Home Career Outreach	Form and Instruction
CMS-10437.GenIC#27 Nursing Outreach Discussion Guide CMS-10437.GenIC#27 - Attachment 3 Nursing Outreach Discussion Guide 20230918.docx	Form and Instruction
CMS-10437.GenIC#27 NHS qual App to use burden hrs.docx CMS-10437.GenIC#27 NHS qual App to use burden hrs	IC Document
CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation.docx CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation	IC Document

IC Title:

CMS-10437. GenIC#27 - Qualitative Testing of Message Concepts for Nursing Home Career Outreach

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10437.GenIC#27				Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CMS-10437.GenIC#27 NHS qual App to use burden hrs		09/28/2023
CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation		09/28/2023

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

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