OMB control number
1-800-MEDICARE Beneficiary Satisfaction Survey (CMS-100098)
OMB 0938-0919 · HHS/CMS.
OMB 0938-0919
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 OMB Supporting Statement - Part B.doc | Supporting Statement B |
| OMB Crosswalk and Track Changes.doc | Supplementary Document |
| OMB Supporting Statement Part A (3).doc | Supporting Statement A |
 1-800 MEDICARE Beneficiary Satisfaction Survey (Interactive Voice Response-IVR) |
Instruction |
| 1-800 MEDICARE Beneficiary Satisfaction Survey (Written Correspondence) |
Instruction |
| 1-800 MEDICARE Beneficiary Satisfaction Survey (Outbound Telephone Survey) |
Instruction |
| 1-800 MEDICARE Beneficiary Satisfaction Survey (E-mail) |
Instruction |
| 1-800 MEDICARE Beneficiary Satisfaction Survey (Web Chat) |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201103-0938-003 | Reinstatement with change of a previously approved collection | 2011-03-04 | Approved without change | |
| 200703-0938-011 | Extension without change of a currently approved collection | 2007-03-21 | Approved with change | |
| 200402-0938-012 | New collection (Request for a new OMB Control Number) | 2004-02-20 | Approved with change |