CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1382 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10710.GenIc#7 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction
CMS-10710.GenIc#7 CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Sect CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day).pdf Form and Instruction
CMS-10710.GenIc#7 CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Sect CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day).pdf Form and Instruction
CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day).docx CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) IC Document
CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day).docx CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) IC Document

Information Collection (IC) Details

IC Title:	CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10710.GenIc#7	CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)	CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000,000	1,000,000
Annual IC Time Burden (Hours)	83,333	83,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280)	CMS-10710#7 - Medicare IVR Customer 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.