OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488)

OMB 0938-1221 · HHS/CMS.

OMB 0938-1221

Section 1311(c)(4) of the ACA requires the Department of Health and Human Services (HHS) to develop an enrollee satisfaction survey system that assesses consumer experience with qualified health plans (QHPs) offered through an Exchange. It also requires public display of enrollee satisfaction information by the Exchange to allow individuals to easily compare enrollee satisfaction levels between comparable plans. CMS is developing, testing and implementing two surveys, a survey for adult enrollees in QHPs and a survey for health insurance Marketplace consumers. CMS is requesting approval for information collection associated with these surveys.

The latest form for Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488) expires 2026-09-30 and is listed under ICR 202407-0938-021.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10488 Adult Qualified Health Plan Enrollee Experience SurveyForm and Instruction
2025 Non-Substantive Change Request Memo (QHP Enrollee Survey-Chinese Internet) (004).pdf Justification for No Material/Nonsubstantive Change
2024-QHP-EnrollSurvey-SSA-508.docxSupporting Statement A
2024-QHP-EnrollSurvey-SS-B-508.docxSupporting Statement B
2024-QHP-Enrollee-Survey-Change-Crosswalk.docx Supplementary Document
2024-Responses-to-Public-Comments-to-the-QHP-Enrollee-Survey-Final.docx Supplementary Document
Adult Qualified Health Plan Enrollee Experience Survey Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202407-0938-021 No material or nonsubstantive change to a currently approved collection 2024-08-01 Approved without change
202307-0938-006 Revision of a currently approved collection 2023-07-31 Approved without change
202206-0938-025 No material or nonsubstantive change to a currently approved collection 2022-07-05 Approved without change
202009-0938-018 Revision of a currently approved collection 2020-09-30 Approved without change
202005-0938-010 No material or nonsubstantive change to a currently approved collection 2020-05-27 Approved with change
201804-0938-025 No material or nonsubstantive change to a currently approved collection 2018-05-14 Approved with change
201707-0938-017 Revision of a currently approved collection 2017-08-02 Approved without change
201610-0938-003 No material or nonsubstantive change to a currently approved collection 2016-10-25 Approved without change
201607-0938-006 Revision of a currently approved collection 2016-07-14 Approved with change
201508-0938-007 Revision of a currently approved collection 2015-08-07 Approved with change
201501-0938-008 No material or nonsubstantive change to a currently approved collection 2015-01-29 Approved without change
201409-0938-006 No material or nonsubstantive change to a currently approved collection 2014-09-11 Approved without change
201407-0938-016 No material or nonsubstantive change to a currently approved collection 2014-07-31 Approved without change
201402-0938-010 No material or nonsubstantive change to a currently approved collection 2014-02-19 Approved without change
201402-0938-007 New collection (Request for a new OMB Control Number) 2014-02-11 Approved with change