Information Collection Request

Generic Clearance for Improving Customer Experience: OMB Circular A–11, Section 280 Implementation) (CMS-10710)

ICR 202012-0938-005 · OMB 0938-1382 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10710.GenIC#7 CMS-10710.GenIC#7. Medicare IVR Customer Satisfaction Survey Form and Instruction New Available
Form CMS-10710.GenIC#6 CMS-10710.GenIC#6 Marketplace IVR Customer Satisfaction Survey Form and Instruction New Available
Form CMS-10710.GenIC#5 CMS-10710.GenIC#5 - Medicare.gov Web Satisfaction Survey Form and Instruction New Available
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey Form and Instruction New Available
CMS-10710.Non-sub Change Justification.docx Justification for No Material/Nonsubstantive Change Uploaded 2020-12-07 Available
CMS-10710.SupportingStatementPartB.docx Supporting Statement B Uploaded 2020-05-14 Available
CMS-10710.SupportingStatementPartA (non-sub change).docx Supporting Statement A Uploaded 2020-12-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
244925 CMS-10710.GenIC#7. Medicare IVR Customer Satisfaction Survey Form and Instruction New
244923 CMS-10710.GenIC#6 Marketplace IVR Customer Satisfaction Survey Form and Instruction New
244922 CMS-10710.GenIC#5 - Medicare.gov Web Satisfaction Survey Form and Instruction New
244921 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2023 09/30/2023 09/30/2023
1,001,750 0 1,001,750
133,933 0 51,750
0 0 0






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 1,001,750 1,001,750 0 0 0 0
Annual Time Burden (Hours) 133,933 51,750 0 0 82,183 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No