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Account Manager Satisfaction Survey (CMS-10748)

IC 257114 under ICR 202211-0938-011 · OMB 0938-1185.

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Account Manager Satisfaction Survey (CMS-10748)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10748 Account Manager Satisfaction Survey Account Manager Satisfaction Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

300 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10748 - Fast Track Supporting Statement (2020 version 3) CMS-10748 - Fast Track Supporting Statement (2020 version 3).docx 11/25/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.