Form CMS-10710.GenIC #8 CMS-10710.GenIC #8 High Impact Trust Survey Medicare (Instrument)

Q1 Based on my experience on Medicare.gov, I trust that Medicare is working in the best interest of the American public.

1 Yes

2 No

Q2a (for those who select Yes) What about using Medicare.gov made the difference? (Select all that apply)

              I found what I needed

              It was easy to complete what I came to the site to do

              I found what I needed on this site quicky

              I understand the next steps I need to take

              None of the above

             

Q2b. (for those who select No) What about using Medicare.gov could have been better?

              I did not find what I needed

              It was difficult to complete what I came to the site to do

              It took too long to find what I needed on this site

              I do not understand the next steps I need to take

None of the above

Q3. What can we do to improve your experience on Medicare.gov?

              [Open ended question]

• OMB Control No. 0938-1382 (exp. 12/31/2026)

• Estimated burden time: 3 minutes

• All responses to this survey are voluntary.

• Send comments about this survey to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.

PRA Disclosure Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-1382 (Expires 12/31/2026). This is a voluntary information collection. Although CMS is not invoking statutory support for confidentiality, the quality of this type of information requires respondent candor and anonymity. Therefore, CMS pledges to keep the information collected private unless otherwise required by law. Respondents will be notified on the data collection form that their information will only be reported in aggregated form and no personally identifiable responses will be publicly released. The time required to complete this information collection is estimated to average 3 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.