Information Collection

Account Manager Satisfaction Survey (CMS-10748)

IC 283062 under ICR 202610-0938-001 · OMB 0938-1185.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10748 PACE Organization Survey Account Manager Satisfaction Survey (CMS-10748)	Form
Form CMS-10748 Medicare Advantage Organization Survey Account Manager Satisfaction Survey (CMS-10748)	Form
Form CMS-10748 ACA Issuers Survey Account Manager Satisfaction Survey (CMS-10748)	Form
Emails to Plan Sponsors.docx	Other-Other-Emails to Plan Sponsors
CMS-10748 PACE Organization Survey PACE AM Survey Questions Change PRA 2023 Final.docx	Form
CMS-10748 Medicare Advantage Organization Survey MA PDP Survey Questions_Medicare AM Final.docx	Form
CMS-10748 ACA Issuers Survey ACA AM Survey Questions Final.docx	Form
CMS-10748 - Fast Track Supporting Statement (2023 version 5).docx Fast Track Supporting Statement	IC Document
MA PDP Survey Questions_Medicare AM Track changes.docx Track Changes: Medicare Advantage Organization survey	IC Document

IC Title:

Agency IC Tracking Number:

OPOLE

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-10748	Yes	Yes	Fillable Fileable
Form	CMS-10748	Yes	Yes	Fillable Fileable
Form	CMS-10748	Yes	Yes	Fillable Fileable
Other-Other-Emails to Plan Sponsors		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 425

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	425	425
Annual IC Time Burden (Hours)	71	71
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Supporting Statement		10/14/2026
Track Changes: Medicare Advantage Organization 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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