Information Collection Request

Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706)

ICR 202405-0938-010 · OMB 0938-1397 · Received in OIRA

Forms and Documents

Document	Type	Status	Availability
Form CMS-10896 CCSQ Support Central Live Chat and Virtual Agent Enhancement Survey (CMS-10896)	Form and Instruction	New	Available
Form CMS-10886 CCSQ Support Central Knowledge/Resource Center Survey (CMS-10886)	Form and Instruction	New	Repair queued
Form CMS-10800 Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800 revised)	Form and Instruction	New	Repair queued
Form CMS-10871 Hospital Quality Reporting User Language Card Sort (CMS-10871)	Form and Instruction	New	Repair queued
Form CMS-10817 Hospital Quality Reporting User Research Participation Interest Survey (CMS-10817 revised)	Form and Instruction	New	Repair queued
Form CMS-10838 QPP Submissions Intercept Survey (CMS-10838)	Form and Instruction	New	Missing upstream
Form CMS-10832 Chat/CCSQ Support Central – Basic information questions (CMS-10832)	Form and Instruction	New	Repair queued
Form CMS-10833 Customer Effort Scoring - Surveys (CMS-10833)	Form and Instruction	New	Repair queued
Form CMS-10818 Center for Clinical Standards and Quality (CCSQ) Support Central Customer Satisfaction Survey (CMS-10818)	Form and Instruction	New	Missing upstream
Form CMS-10810 Internet Quality Improvement and Evaluation System (IQIES) Idea Portal (CMS-10810)	Form and Instruction	New	Repair queued
Form CMS-10808 Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808)	Form and Instruction	New	Repair queued
Form CMS-10804 Quality Payment Program Site Intercept Survey (CMS-10804)	Form and Instruction	New	Repair queued
CMS-10706 Template_CCSQ Generic Clearance_07192021_clean copy.docx	Supplementary Document	Uploaded 2021-07-20	Repair queued
CMS-10706_SuppStmt_Part B_final 2-22-24 .docx	Supporting Statement B	Uploaded 2024-05-09	Repair queued
CMS-10706_SuppStmt_Part A_FINAL-2024-02-22.docx	Supporting Statement A	Uploaded 2024-05-09	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
267567	CCSQ Support Central Live Chat and Virtual Agent Enhancement Survey (CMS-10896)	Form and Instruction	New
267566	CCSQ Support Central Knowledge/Resource Center Survey (CMS-10886)	Form and Instruction	New
267565	Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800 revised)	Form and Instruction	New
267563	Hospital Quality Reporting User Language Card Sort (CMS-10871)	Form and Instruction	New
267561	Hospital Quality Reporting User Research Participation Interest Survey (CMS-10817 revised)	Form and Instruction	New
267559	QPP Submissions Intercept Survey (CMS-10838)	Form and Instruction	New
267557	Chat/CCSQ Support Central – Basic information questions (CMS-10832)	Form and Instruction	New
267555	Customer Effort Scoring - Surveys (CMS-10833)	Form and Instruction	New
267554	Center for Clinical Standards and Quality (CCSQ) Support Central Customer Satisfaction Survey (CMS-10818)	Form and Instruction	New
267553	Internet Quality Improvement and Evaluation System (IQIES) Idea Portal (CMS-10810)	Form and Instruction	New
267551	Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808)	Form and Instruction	New
267550	Quality Payment Program Site Intercept Survey (CMS-10804)	Form and Instruction	New

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-1397
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202009-0938-002
Agency Tracking No	CCSQ
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31