Information Collection

Blue Button 2.0 Developer Experience Customer Satisfaction Survey (CMS-10924)

IC 283059 under ICR 202610-0938-001 · OMB 0938-1185.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10924 DevEx Survey (2026) Blue Button 2.0 Developer Experience Customer Satisfaction Survey (CMS-10924)	Form and Instruction
CMS-10924 DevEx Survey (2026) DevEx 2026 Survey.docx	Form and Instruction
CMS-10924 - Supporting Statement A.docx CMS-10924 Gen-IC Supporting Statement A	IC Document
CMS-10924 - Supporting Statement B.docx CMS-10924 Gen-IC Supporting Statement B	IC Document
DevEx 2026 Survey_Redline Version.docx Track Change - DevEx Survey	IC Document

IC Title:

Agency IC Tracking Number:

OEDA

IC Status: New

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-10924				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 220

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	220	220
Annual IC Time Burden (Hours)	77	77
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CMS-10924 Gen-IC Supporting Statement A		10/14/2026
CMS-10924 Gen-IC Supporting Statement B		10/14/2026
Track Change - DevEx Survey		10/14/2026

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

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