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

ICR 202402-0938-008

OMB: 0938-1382

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (REVISON) Form and Instruction	New
Form CMS-10710.GenIC #8 CMS-10710.GenIC#8 - High Impact Trust Survey Medicare Form and Instruction	New
Form CMS-10710.GenIc#7 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction	Unchanged
Form CMS-10710.GenIc#7 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction	Unchanged
Form CMS-10710.GenIC#6 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) Form and Instruction	Unchanged
Form CMS-10710.GenIC#6 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) Form and Instruction	Unchanged
Form CMS-10710.GenIC#5 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction	Unchanged
Form CMS-10710.GenIC#5 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction	Unchanged
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction	Unchanged
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction	Unchanged
0938-1382.Justification of Non-sub Change (Technical Correction)-2-29-24.docx Justification for No Material/Nonsubstantive Change	2024-02-29
0938-1382.Justification of Non-sub Change (Technical Correction)-2-29-24.docx Justification for No Material/Nonsubstantive Change	2024-02-29
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx Justification for No Material/Nonsubstantive Change	2024-02-20
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx Justification for No Material/Nonsubstantive Change	2024-02-20
ICR Template_A11 Section 280 Clearance.docx Supplementary Document	2023-11-21
ICR Template_A11 Section 280 Clearance.docx Supplementary Document	2023-11-21
CMS-10710.SupportingStatementPartA (revised final).docx Supporting Statement A	2023-11-21
CMS-10710.SupportingStatementPartA (revised final).docx Supporting Statement A	2023-11-21
CMS-10710.SupportingStatementPartB (30-day).docx Supporting Statement B	2023-09-30
CMS-10710.SupportingStatementPartB (30-day).docx Supporting Statement B	2023-09-30

IC Document Collections

IC ID	Document Title	Status
265831	CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (REVISON) Form and Instruction	New
265830	CMS-10710.GenIC#8 - High Impact Trust Survey Medicare Form and Instruction	New
262622	CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction	Unchanged
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	Unchanged
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	Unchanged
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	Unchanged
262619	CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction	Unchanged