CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)

Generic Clearance for Improving Customer Experience: OMB Circular A–11, Section 280 Implementation) (CMS-10710)

OMB: 0938-1382

IC ID: 262619

Information Collection (IC) Details

View Information Collection (IC)

CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280) CMS-10710#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280) (30-day).pdf Yes Yes Fillable Fileable

Health Health Care Services

 

24,000 0
   
Individuals or Households
 
   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 24,000 0 24,000 0 0 0
Annual IC Time Burden (Hours) 1,600 0 1,600 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10710#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280) (30-day) CMS-10710#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280) (30-day).docx 09/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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