Information Collection Request
Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731)
ICR 202304-0938-022 · OMB 0938-1459 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10731. (GenIC# CMS-10731(GenIC#1). Was This Page Helpful Survey |
Form and Instruction | New | Repair queued |
| Form CMS-10731. (GenIC# CMS-10731.(GenIC#2) - CBR Feedback Survey |
Form and Instruction | New | Available |
 CMS-10731_Supporting_Statement_Part_A (30-day).docx |
Supporting Statement A | Uploaded 2023-04-27 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 272113 |  CMS-10731(GenIC#1). Was This Page Helpful Survey |
Form and Instruction | New | |
| 272112 | CMS-10731.(GenIC#2) - CBR Feedback Survey |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1459 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |