Information Collection

CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)

IC 262621 under ICR 202609-0938-011 · OMB 0938-1382.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10710.GenIC#6 CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day) CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	Form and Instruction
CMS-10710.GenIC#6 CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey CMS-10710#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day).pdf	Form and Instruction
CMS-10710#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day).docx CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10710.GenIC#6				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	300,000	300,000
Annual IC Time Burden (Hours)	25,000	25,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280)		09/30/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].