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GenIC #17 Formative Research and Materials Testing for Medicare
Generic Social Marketing & Consumer Testing Research (CMS-10437)
OMB: 0938-1247
IC ID: 269728
OMB.report
HHS/CMS
OMB 0938-1247
ICR 202407-0938-019
IC 269728
( )
Documents and Forms
Document Name
Document Type
Form CMS-10437.GenIC#17
GenIC #17 Formative Research and Materials Testing for Medicare
Form and Instruction
CMS-10437.GenIC#17 CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FI
CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL.docx
Form and Instruction
CMS-10437.GenIC#17 CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FI
CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL.docx
Form and Instruction
CMS-10437.GenIC#17 - Justification for Providing Incentives for Participation in Marketing Research (final).docx
CMS-10437.GenIC#17 - Justification for Providing Incentives for Participation in Marketing Research (final)
IC Document
CMS-10437.GenIC#17 - Justification for Providing Incentives for Participation in Marketing Research (final).docx
CMS-10437.GenIC#17 - Justification for Providing Incentives for Participation in Marketing Research (final)
IC Document
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_CoverPage_FINAL.docx
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_CoverPage_FINAL
IC Document
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_CoverPage_FINAL.docx
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_CoverPage_FINAL
IC Document
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_Supporting Statement_REVISED 1-30-18 (final).docx
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_Supporting Statement_REVISED 1-30-18 (final)
IC Document
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_Supporting Statement_REVISED 1-30-18 (final).docx
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_Supporting Statement_REVISED 1-30-18 (final)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
GenIC #17 Formative Research and Materials Testing for Medicare
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
CMS-10437.GenIC#17
CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL
CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
600
0
600
0
0
0
Annual IC Time Burden (Hours)
900
0
900
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CMS-10437.GenIC#17 - Justification for Providing Incentives for Participation in Marketing Research (final)
CMS-10437.GenIC#17 - Justification for Providing Incentives for Participation in Marketing Research (final).docx
08/06/2024
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_CoverPage_FINAL
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_CoverPage_FINAL.docx
08/06/2024
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_Supporting Statement_REVISED 1-30-18 (final)
CMS-10437.GenIC#17 - MedicareFormativeMatsTesting_Supporting Statement_REVISED 1-30-18 (final).docx
08/06/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.