Information Collection Request

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

ICR 202402-0938-006 · OMB 0938-1382 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10710.GenIc#7 CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction Unchanged Available
Form CMS-10710.GenIc#7 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction Unchanged Repair queued
Form CMS-10710.GenIC#6 CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction Unchanged Available
Form CMS-10710.GenIC#6 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) Form and Instruction Unchanged Repair queued
Form CMS-10710.GenIC#5 CMS-10710#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction Unchanged Available
Form CMS-10710.GenIC#5 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction Unchanged Repair queued
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280) Form and Instruction Unchanged Available
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction Unchanged Repair queued
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-02-20 Repair queued
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-02-20 Repair queued
ICR Template_A11 Section 280 Clearance.docx Supplementary Document Uploaded 2023-11-21 Available
ICR Template_A11 Section 280 Clearance.docx Supplementary Document Uploaded 2023-11-21 Repair queued
CMS-10710.SupportingStatementPartA (revised final).docx Supporting Statement A Uploaded 2023-11-21 Available
CMS-10710.SupportingStatementPartA (revised final).docx Supporting Statement A Uploaded 2023-11-21 Repair queued
CMS-10710.SupportingStatementPartB (30-day).docx Supporting Statement B Uploaded 2023-09-30 Available
CMS-10710.SupportingStatementPartB (30-day).docx Supporting Statement B Uploaded 2023-09-30 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262622 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction UnchangedCMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)
262622 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction Unchanged
262621 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) Form and Instruction UnchangedCMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day)
262621 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) Form and Instruction Unchanged
262620 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction UnchangedCMS-10710#5 - Medicare.gov Web Sat Survey (A11 Section 280)
262620 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction Unchanged
262619 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction UnchangedCMS-10710.GenIC#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280)
262619 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2026 12/31/2026 12/31/2026
1,001,750 0 1,001,750
133,933 0 133,933
0 0 0





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) CMS-10710.GenIC#6
CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) CMS-10710.GenIC#4
CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) CMS-10710.GenIC#5
CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) CMS-10710.GenIc#7

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,001,750 1,001,750 0 0 0 0
Annual Time Burden (Hours) 133,933 133,933 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No