Generic Social Marketing & Consumer Testing Research (CMS-10437)

OMB 0938-1247

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.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10437.GenIC#23 GenIC #23 Marketplace OE survey Form and Instruction
Form CMS-10437.GenIC #2 GenIC #22.Medicare Telehealth Beneficiary Survey Form and Instruction
Form CMS-10437.GenIC#20 GenIC #20 Medicare Online Qualitative Panel Monthly Survey Form and Instruction
Form CMS-10437.GenIC#17 GenIC #17 Formative Research and Materials Testing for Medicare Form and Instruction
Form CMS-10437.GenIC#16 GenIC #16 Qualitative Testing of Creative Materials for Medicare Form and Instruction
Form CMS-10437. GenIC#1 GenIC #13: Qualitative Research on Communications and Decision Support for Provider Initiatives Form and Instruction
Form CMS-10437.GenIC#11 GenIC #11: CMS Consumer Research on Websites and Tools Form and Instruction
Form CMS-10437.GenIC#10 GenIC #10: Quality Payment Program Provider Awareness Tracking Survey Form and Instruction
Form CMS-10437(GenIC#8) GenIC #8: Qualitative Testing of Creative Materials Form and Instruction
Form CMS-10437.GenIC#7 GenIC #7: Formative Research on Communications and Decision Support in Marketplace Form and Instruction
Form CMS-10437.GenIC #3 GenIC #3: Medicare Open Enrollment Survey Form and Instruction
CMS-10437.SupportingStatement_B (30-day).docx Supporting Statement B
CMS-10437.SupportingStatement_A (30-day).docx Supporting Statement A
CMS-10437.GenericSMTestingItemBank (30-day).pdf Supplementary Document
GenIC #23 Marketplace OE survey Form and Instruction
GenIC #22.Medicare Telehealth Beneficiary Survey Form and Instruction
GenIC #20 Medicare Online Qualitative Panel Monthly Survey Form and Instruction
GenIC #17 Formative Research and Materials Testing for Medicare Form and Instruction
GenIC #16 Qualitative Testing of Creative Materials for Medicare Form and Instruction
GenIC #13: Qualitative Research on Communications and Decision Support for Provider Initiatives Form and Instruction
GenIC #11: CMS Consumer Research on Websites and Tools Form and Instruction
GenIC #10: Quality Payment Program Provider Awareness Tracking Survey Form and Instruction
GenIC #8: Qualitative Testing of Creative Materials Form and Instruction
GenIC #7: Formative Research on Communications and Decision Support in Marketplace Form and Instruction
GenIC #3: Medicare Open Enrollment Survey Form and Instruction

All Historical Document Collections

202011-0938-009	Revision of a currently approved collection	2020-12-29
201708-0938-025 Approved with change	Extension without change of a currently approved collection	2017-08-30
201307-0938-017 Approved without change	New collection (Request for a new OMB Control Number)	2013-07-23
201210-0938-001 Improperly submitted	New collection (Request for a new OMB Control Number)	2012-10-01

OMB Details

CMS-10437.GenIC#3 - Medicare Open Enrollment Survey

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.