Information Collection

CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)

IC 262621 under ICR 202402-0938-006 · OMB 0938-1382.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10710.GenIC#6 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	Form and Instruction
Form CMS-10710.GenIC#6 CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day) CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	Form and Instruction
CMS-10710.GenIC#6 CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey CMS-10710#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day).pdf	Form and Instruction
CMS-10710.GenIC#6 CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey CMS-10710#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day).pdf	Form and Instruction
CMS-10710#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day).docx CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	IC Document
CMS-10710#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day).docx CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	IC Document

IC Title:

CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10710.GenIC#6				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	300,000	300,000
Annual IC Time Burden (Hours)	25,000	25,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280)		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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