GenIC #25 Medicare Savings Program and Extra Help Awareness Survey

Generic Social Marketing & Consumer Testing Research (CMS-10437)

OMB: 0938-1247

IC ID: 269720

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

GenIC #25 Medicare Savings Program and Extra Help Awareness Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10437.GenIC#25 Medicare Savings Program and Extra Help Awareness Survey CMS-10437.GenIC#25.Survey Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,000 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 333 0 333 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10437.GenIC#25.SupportingStatement CMS-10437.GenIC#25.SupportingStatement.docx 08/06/2024
CMS-10437.GenIC#25. Study Request Form CMS-10437.GenIC#25. Study Request Form.docx 08/06/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy