Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs

Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs (CMS-10598)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1331 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10598 Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs Form and Instruction
CMS-10598 Stakeholder CBT Survey CMS-10598 - Stakeholder CBT Survey.docx Form and Instruction
CMS-10598 Stakeholder CBT Survey CMS-10598 - Stakeholder CBT Survey.docx Form and Instruction
CMS-10598 Stakeholder Online Evaluation Survey CMS-10598 - Stakeholder Online Evaluation Surveys.docx Form and Instruction
CMS-10598 Stakeholder Online Evaluation Survey CMS-10598 - Stakeholder Online Evaluation Surveys.docx Form and Instruction
CMS-10598 Stakeholder Onsite Evaluation Survey CMS-10598 - Stakeholder Onsite Evaluation Surveys.docx Form and Instruction
CMS-10598 Stakeholder Onsite Evaluation Survey CMS-10598 - Stakeholder Onsite Evaluation Surveys.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Clearance for Evaluation of Stakeholder Training Health Insurance Marketplace and Market Stabilization Programs	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10598	Stakeholder CBT Survey	CMS-10598 - Stakeholder CBT Survey.docx	Yes	Yes	Fillable Printable
Form and Instruction	CMS-10598	Stakeholder Online Evaluation Survey	CMS-10598 - Stakeholder Online Evaluation Surveys.docx	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-10598	Stakeholder Onsite Evaluation Survey	CMS-10598 - Stakeholder Onsite Evaluation Surveys.docx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45,322	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	45,322	45,322
Annual IC Time Burden (Hours)	11,331	11,331
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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