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Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Telephone Library of Questions (CMS-10815)

IC 257142 under ICR 202211-0938-011 · OMB 0938-1185.

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Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Telephone Library of Questions (CMS-10815)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10815 CMS-10815. Call Center Question List.docx CMS-10815. Call Center Question List.docx Yes Yes Fillable Fileable

Health Health Care Services

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

60,000 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 60,000 0 60,000 0 0 0
Annual IC Time Burden (Hours) 2,000 0 2,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10815.Telephone Fast Track Form CMS-10815.Telephone Fast Track Form.docx 11/28/2022
CMS-10815. Link for PRA Disclosure Statement CMS-10~1.PDF 11/28/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.