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  3. OMB 0938-0919

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
Name
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All Historical Document Collections
201103-0938-003
Approved without change
Reinstatement with change of a previously approved collection 2011-03-04
200703-0938-011
Approved with change
Extension without change of a currently approved collection 2007-03-21
200402-0938-012
Approved with change
New collection (Request for a new OMB Control Number) 2004-02-20

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