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Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Written Correspondence Survey (CMS-10814)

IC 257141 under ICR 202211-0938-011 · OMB 0938-1185.

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Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Written Correspondence Survey (CMS-10814)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10814 CMS-10814. Written Correspondence Instrument CMS-10814. Written Correspondence Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

09-90-1901 HHS Correspondence, Customer Service, and Contact List Records,  84 FR 28823

10,000 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 10,000 0 10,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10814. Link for PRA Disclosure Statement CMS-10814. Link for PRA Disclosure Statement.pdf 11/28/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.