The purpose of this submission is to request an Information Collection Request (ICR) generic clearance for a program of consumer research aimed at a broad audience of those affected by CMS programs including Medicare, Medicaid, Children's Health Insurance Program (CHIP), and health insurance marketplace (a.k.a. "exchanges"). This program extends strategic efforts to reach and tailor communications to beneficiaries, caregivers, providers, stakeholders, and any other audiences that would support the Agency in improving the functioning of the health care system, improve patient care and outcomes, and reduce costs without sacrificing quality of care. With the clearance, CMS will create a proactive process for rapid collection of data to inform development of communications as well as providing rapid feedback on service delivery for continuous improvement of programs and communications aimed at diverse CMS target audiences.
The latest form for Generic Social Marketing & Consumer Testing Research (CMS-10437) expires 2021-01-31 and can be found here.
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Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Supporting Statement A |
Supplementary Document |
Supporting Statement B |
Revision of a currently approved collection | 2024-08-06 | ||
Revision of a currently approved collection | 2020-12-29 | ||
Approved with change |
Extension without change of a currently approved collection | 2017-08-30 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 2013-07-23 | |
Improperly submitted |
New collection (Request for a new OMB Control Number) | 2012-10-01 |
Federal Enterprise Architecture: Health - Health Care Services
Form CMS-10437.GenIC#3 | OMB OE PRE CAMPAIGN SURVEY.docx | Fillable Fileable | Form and instruction |
Form CMS-10437.GenIC#3 | OMB OE POSTCAMPAIGN SURVEY.docx | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.