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CMS-10549 Gen IC # 1 Testing Revisions to Advance Mailing Materials for the Medicare Current Beneficiary Survey

IC 245071 under ICR 202012-0938-015 · OMB 0938-1275.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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CMS-10549 Gen IC # 1 Testing Revisions to Advance Mailing Materials for the Medicare Current Beneficiary Survey ODEA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction New FAQ text.docx Yes No Printable Only
Instruction Revised Brochure.docx Yes No Printable Only
Form and Instruction CMS-10549 Advance Letter Report AdvLtrReportFinal.pdf Yes No Printable Only

Health Health Care Services

 

12,000 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 12,000 0 12,000 0 0 0
Annual IC Time Burden (Hours) 1 0 1 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Mini Supporting Statement GenIC 1 Request to Test Advance Mail Materials.docx 12/22/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.