OMB control number

Generic Clearance for Improving Customer Experience: OMB Circular A–11, Section 280 Implementation) (CMS-10710)

OMB 0938-1382 · HHS/CMS.

OMB 0938-1382

In March 2018, the Administration of President Trump launched the President’s Management Agenda (PMA) and established new Cross-Agency Priority (CAP) Goals. Excellent service was established as a core component of the mission, service, stewardship model that frames the entire PMA, embedding a customer-focused approach in all of the PMA’s initiatives. This model was also included in the 2018 update of the Federal Performance Framework in Circular A-11, ensuring ‘excellent service’ as a focus in future agency strategic planning efforts. The PMA included a CAP Goal on Improving Customer Experience with Federal Services, with a primary strategy to drive improvements within 25 of the nation’s highest impact programs. This effort is supported by an interagency team and guidance in Circular A-11 requiring the collection of customer feedback data and increasing the use of industry best practices to conduct customer research. These Presidential actions and requirements establish an ongoing process of collecting customer insights and using them to improve services. This new request will enable the Centers for Medicare and Medicaid Services (hereafter the Agency) to act in accordance with OMB Circular A-11 Section 280 to ultimately transform the experience of its customers to improve both efficiency and mission delivery, and increase accountability by communicating about these efforts with the public.

The latest form for Generic Clearance for Improving Customer Experience: OMB Circular A–11, Section 280 Implementation) (CMS-10710) expires 2026-12-31 and is listed under ICR 202402-0938-008.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10970 Medicare Advantage Beneficiary Customer Satisfaction Survey for Complaint Resolution (document unavailable)Form and Instruction
Form CMS-10966 Proposed Qualtrics Survey Script (document unavailable)Form and Instruction
Form CMS-10909 Medicaid.gov Pop-up Survey (document unavailable)Form and Instruction
Form CMS-10903 Consent form (document unavailable)Form and Instruction
Form CMS-10903 Caregiver Eligibility Screener (document unavailable)Form and Instruction
Form CMS-10903 Generative In-Depth Interview Guide (document unavailable)Form and Instruction
Form CMS-10962 CMS-10962. SPANISH_FLH Page Form Survey (document unavailable)Form and Instruction
Form CMS_10962 CMS-10962.ENGLISH FLH Page Form Survey (document unavailable)Form and Instruction
Form CMS-10911 Medicaid.gov Static Feedback Tool (document unavailable)Form and Instruction
Form CMS-10910 Insure Kids Now Pop-up Survey (document unavailable)Form and Instruction
Form CMS-10710.GenIC#15 GenIC #15-TRIPTK JourneyAI Survey Medical Professionals (document unavailable)Form and Instruction
Form CMS-10710.GenIC#14 GenIC#14-TRIPTK - JourneyAI Survey_Beneficiaries & Caregivers.docx (document unavailable)Form and Instruction
Form CMS-10710 CMS-10710.[Medicare Research GenIC#14-TRIPTK] JourneyAI Survey_Beneficiaries & Caregivers (document unavailable)Form and Instruction
Form CMS-10710 CMS-10710.[Medicare Research GenIC#13-TRIPTK] Homework_Journey Map (document unavailable)Form and Instruction
Form CMS-10710 CMS-10710. [Medicare Research GenIC#13-TRIPTK] Discussion Guide_UX Task & Talk (document unavailable)Form and Instruction
Form CMS-10710 CMS-10710. [Medicare Research GenIC#13-TRIPTK] Discussion Guide_Round Table_Caregivers (document unavailable)Form and Instruction
Form CMS-10710 CMS-10710. [Medicare Research GenIC#13-TRIPTK] Discussion Guide_Round Table_Beneficiaries.docx (document unavailable)Form and Instruction
Form CMS-10710 CMS-10710. [Medicare Research GenIC#13-TRIPTK] Discussion Guide_IDI In-Home DYADs Caregivers and Beneficiaries (document unavailable)Form and Instruction
Form CMS-10710 CMS-10710. [Medicare Research GenIC#13-TRIPTK] Discussion Guide_IDI In-Home & Facility_Beneficiaries (document unavailable)Form and Instruction
Form CMS-10710#12 CMS-10710.GenIC#12 - DACA - Instrument (document unavailable)Form and Instruction
Form CMS-10911 Medicaid.gov Always On Feedback Survey (document unavailable)Form
Form CMS-10911 Medicaid.gov Feedback Survey (document unavailable)Form and Instruction
Form CMS-10910 Insure Kids Now Customer Feedback Survey (document unavailable)Form and Instruction
Form CMS-10909 Medicaid.gov Customer Feedback Survey (document unavailable)Form and Instruction
Form CMS-10900 CMS-10900.Applicant Screener Survey (7-9-24) (document unavailable)Form and Instruction
Form CMS-10710.GenIC#11 CMS-10710 GenIC#11. (CMS 10868) Change of Status Instrument (document unavailable)Form and Instruction
Form CMS-10003 Notice of Denial of Medical Coverage (document unavailable)Form and Instruction
Form CMS-10003 Notice Testing Guide (document unavailable)Form and Instruction
Form CMS-10146 Notice of Denial of Medicare Part D Drug Coverage (document unavailable)Form and Instruction
Form CMS-10146 Notice Testing Guide (document unavailable)Form and Instruction
Form CMS-10710.GenIC#4 Healhtcare.gov Web Satisfaction Survey (Instrument)Form and Instruction
Form CMS-10710.GenIC #8 High Impact Trust Survey Medicare (Instrument)Form and Instruction
Form CMS-10710.GenIc#7 CMS-10710#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)Form and Instruction
Form CMS-10710.GenIc#7 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)Form and Instruction
Form CMS-10710.GenIC#6 CMS-10710.GenIC#6 - Marketplace IVR Customer Sat Survey (A11 Section 280) (30-day)Form and Instruction
Form CMS-10710.GenIC#6 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)Form and Instruction
Form CMS-10710.GenIC#5 CMS-10710#5 - Medicare.gov Web Sat Survey (A11 Section 280)Form and Instruction
Form CMS-10710.GenIC#5 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280)Form and Instruction
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280)Form and Instruction
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)Form and Instruction
0938-1382.Justification of Non-sub Change (Technical Correction)-2-29-24.docx Justification for No Material/Nonsubstantive Change
0938-1382.Justification of Non-sub Change (Technical Correction)-2-29-24.docx Justification for No Material/Nonsubstantive Change
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx Justification for No Material/Nonsubstantive Change
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx Justification for No Material/Nonsubstantive Change
ICR Template_A11 Section 280 Clearance.docx Supplementary Document
ICR Template_A11 Section 280 Clearance.docx Supplementary Document
CMS-10710.SupportingStatementPartA (revised final).docxSupporting Statement A
CMS-10710.SupportingStatementPartA (revised final).docxSupporting Statement A
CMS-10710.SupportingStatementPartB (30-day).docxSupporting Statement B
CMS-10710.SupportingStatementPartB (30-day).docxSupporting Statement B
Medicare Advantage Beneficiary Customer Satisfaction Survey for Complaint Resolution (CMS-10970) Form and Instruction
Salesforce Customer Relationship Management Satisfaction Survey (CMS-10966) Form and Instruction
[Medicaid] CMS-10909 (Revision): Medicaid.gov Pop-up Survey Form and Instruction
Foundational Generative In-Depth Interviews for Identifying Needs and Challenges of Adult Caregivers' on Issues Related to Access, Technology, Privacy and Data sharing (CMS-10903) Form and Instruction
Foundational Generative In-Depth Interviews for Identifying Needs and Challenges of Adult Caregivers' on Issues Related to Access, Technology, Privacy and Data sharing (CMS-10903) Form and Instruction
Foundational Generative In-Depth Interviews for Identifying Needs and Challenges of Adult Caregivers' on Issues Related to Access, Technology, Privacy and Data sharing (CMS-10903) Form and Instruction
Website Page Feedback Form: Find Local Help on https://www.healthcare.gov (CMS-10962) Form and Instruction
Website Page Feedback Form: Find Local Help on https://www.healthcare.gov (CMS-10962) Form and Instruction
[Medicaid] CMS-10911 (Revision): Medicaid.gov Static Feedback Form and Instruction
[Medicaid] CMS-10910 (Revision): Insure Kids Now Pop-up Survey Form and Instruction
(REVISED) CMS-10710. GenIC#15 – TRIPTK- Journey AI Survey - Medical Professionals Form and Instruction
GenIC#14 – TRIPTK- Journey AI Surveys Beneficiaries and Caregivers Form and Instruction
CMS-10710. GenIC#15 – TRIPTK- Journey AI Survey - Professionals Form and Instruction
CMS-10710. GenIC#13 - TRIPTK Form and Instruction
CMS-10710. GenIC#13 - TRIPTK Form and Instruction
CMS-10710. GenIC#13 - TRIPTK Form and Instruction
CMS-10710. GenIC#13 - TRIPTK Form and Instruction
CMS-10710. GenIC#13 - TRIPTK Form and Instruction
CMS-10710. GenIC#13 - TRIPTK Form and Instruction
GenIC #12 – Usability and Cognitive Testing: HC.gov Application Enhancements for DACA Recipients Form and Instruction
[Medicaid] Medicaid.gov Feedback Survey (CMS-10911) Form
[Medicaid] Medicaid.gov Feedback Survey (CMS-10911) Form and Instruction
[Medicaid] Insure Kids Now Customer Feedback Survey (CMS-10910) Form and Instruction
[Medicaid] Medicaid.gov Customer Feedback Survey (CMS-10909) Form and Instruction
Facing Financial Shock Applicant Recruitment Survey (CMS-10900) Form and Instruction
GenIC #11 - Notice Testing: CMS Notice of Change of Status (CMS-10868) Form and Instruction
CMS-10710.GenIC#10.- Notice Testing: CMS Notice of Denial of Medical Coverage (CMS-10003) Form and Instruction
CMS-10710.GenIC#10.- Notice Testing: CMS Notice of Denial of Medical Coverage (CMS-10003) Form and Instruction
CMS-10710. GenIC #9 - Notice Testing: CMS Notice of Denial of Part D Drug Coverage (CMS-10146) Form and Instruction
CMS-10710. GenIC #9 - Notice Testing: CMS Notice of Denial of Part D Drug Coverage (CMS-10146) Form and Instruction
CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (REVISON) Form and Instruction
CMS-10710.GenIC#8 - High Impact Trust Survey Medicare Form and Instruction
CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction
CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day) Form and Instruction
CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) Form and Instruction
CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280) Form and Instruction
CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction
CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280) Form and Instruction
CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction
CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280) Form and Instruction

All Historical Document Collections

OMB Details

CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
FormNameElectronic accessType
Form CMS-10710.GenIC#4CMS-10710.GenIC#4 - Healthcare.gov_Web_Sat_Survey (A11 Section 280)Fillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.