Medicaregov Medicare Plan Finder Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (CMS-10415)

OMB: 0938-1185

IC ID: 257102

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

View Information Collection (IC)

Medicaregov Medicare Plan Finder Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10415 Medicare.gov - Medicare Plan Finder Survey CMS-10415. Fast Track Medicaregov - Medicare Plan Finder Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

25,000 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 25,000 0 25,000 0 0 0
Annual IC Time Burden (Hours) 833 0 833 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10415.Medicaregov Medicare Plan Finder Survey - Clearance Template CMS-10415.Medicaregov Medicare Plan Finder Survey - Clearance Template.docx 11/25/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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