Information Collection

Potential Refinements to the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey): Focus Groups with Consumers and QHP Issuers (CMS-10869)

IC 261352 under ICR 202211-0938-011 · OMB 0938-1185.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1185 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10869 Attachment A - Recruitment Screeners for Consumer and Issuer Focus Groups Potential Refinements to the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey): Focus Groups with Consumers and QHP Issuers (CMS-10869)	Form and Instruction
Form CMS-10869 Attachment B: Consent Forms for Consumers and Issuers Potential Refinements to the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey): Focus Groups with Consumers and QHP Issuers (CMS-10869)	Form and Instruction
Form CMS-10869 Attachment C: CMS QHP Enrollee Survey Consumer Focus Group Protocol Potential Refinements to the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey): Focus Groups with Consumers and QHP Issuers (CMS-10869)	Form and Instruction
Form CMS-10869 Attachment D: CMS QHP Enrollee Survey QHP Issuer Focus Group Protocol Potential Refinements to the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey): Focus Groups with Consumers and QHP Issuers (CMS-10869)	Form and Instruction

Record metadata
IC Title	Potential Refinements to the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey): Focus Groups with Consumers and QHP Issuers (CMS-10869)