OMB control number
Medicare OMBudsman Customer Service Feedback Survey (CMS-10068)
OMB 0938-0894 · HHS/CMS.
OMB 0938-0894
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10068 MEDICARE OMBUDSMAN CUSTOMER SERVICE FEEDBACK SURVEY | Form and Instruction |
| CMS-10068 (0938-0894) Survey 2016 Crosswalk.docx | Supplementary Document |
| CMS-10068 (0938-0894) Non-SubstantiveChangeRequest (Dec 2015).docx | Justification for No Material/Nonsubstantive Change |
| CMS-10068ResponsetoPublicComments.docx | Supplementary Document |
| Survey 2014 Crosswalk - 5-20-14.docx | Supplementary Document |
 CMS-10068SupportingStatement-PartB.pdf | Supporting Statement B |
| CMS-10068SupportingStatement-PartA.docx | Supporting Statement A |
 MEDICARE OMBUDSMAN CUSTOMER SERVICE FEEDBACK SURVEY |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201512-0938-002 | No material or nonsubstantive change to a currently approved collection | 2015-12-09 | Approved without change | |
| 201410-0938-015 | Reinstatement with change of a previously approved collection | 2014-10-28 | Approved without change | |
| 201009-0938-007 | Reinstatement without change of a previously approved collection | 2010-09-22 | Approved without change | |
| 200605-0938-012 | No material or nonsubstantive change to a currently approved collection | 2006-05-01 | Approved without change | |
| 200501-0938-008 | Extension without change of a currently approved collection | 2005-01-28 | Approved with change | |
| 200303-0938-010 | New collection (Request for a new OMB Control Number) | 2003-03-25 | Approved with change |