OMB control number

Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731)

OMB 0938-1459 · HHS/CMS.

OMB 0938-1459

The Centers for Medicare & Medicaid Services (CMS) is requesting approval to collect generic feedback from respondents including, but not limited to Medicare providers, Medicare suppliers, provider or supplier staff, billers, credentialing agencies, researchers, clearinghouses, consultants, and attorneys. These surveys will give us insights into customers’ perceptions and opinions and will be used to improve customer experiences and communications materials; however, the results will not be generalized to the population of study. Improving agency programs requires ongoing systemic review of service delivery and program operations compared to defined standards. We’ll use multiple methods to collect, analyze, and interpret information from this generic clearance to find the strengths and weaknesses of our current services. We’ll use this feedback to inform process improvements or maintain service quality offered to providers and stakeholders.

The latest form for Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731) expires 2027-01-31 and is listed under ICR 202304-0938-022.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form CMS-10961 Electronic Prior Auth Survey (document unavailable)	Form and Instruction
Form CMS-10815 CMS-10815. Call Center Question List (document unavailable)	Form
Form CMS-10814 CMS-10814. Written Correspondence Instrument (document unavailable)	Form and Instruction
Form CMS-10812 CMS-10812. Audit and Reimbursement - Website (document unavailable)	Form and Instruction
Form CMS-10812 CMS-10812. Audit and Reimbursement - Letter (document unavailable)	Form and Instruction
Form CMS-10763 CMS-10763.Medical Review Survey - English final (document unavailable)	Form and Instruction
Form CMS-10763 CMS-10763.Medical Review Survey - Spanish final (document unavailable)	Form and Instruction
Form CMS-10760 CMS-10760.Flu Campaign Page Feedback Survey (document unavailable)	Form and Instruction
Form CMS-10721 CMS-10721.Final Persistent Website Feedback Survey (document unavailable)	Form and Instruction
Form CMS-10721 CMS-10721.Final Persistent Website Feedback Survey (Spanish) (document unavailable)	Form and Instruction
Form CMS-10721 CMS-10721.Final Persistent Portal Feedback Survey (document unavailable)	Form and Instruction
Form CMS-10721 CMS-10721.Final Persistent Portal Feedback Survey (Spanish) (document unavailable)	Form and Instruction
Form CMS-10720 CMS-10720.Final Overall Portal Feedback Survey (Spanish) (document unavailable)	Form and Instruction
Form CMS-10720 CMS-10720.Final Overall Website Feedback Survey (Spanish) (document unavailable)	Form and Instruction
Form CMS-10720 CMS-10720.Final Overall Portal Feedback Survey (document unavailable)	Form and Instruction
Form CMS-10720 CMS-10720.Final Overall Website Feedback Survey (document unavailable)	Form and Instruction
Form CMS-10731.(GenIC#8 CMS-10731.(GenIC#8) WISeR Survey Instrument (document unavailable)	Form and Instruction
Form CMS-10941 Measuring Provider Trust in Medicare (document unavailable)	Form and Instruction
Form CMS-10731.GenIC#6 CMS-10731.GenIC#6 - Provider_Type_UX_Study_Homework_Template_for_OMB (document unavailable)	Form and Instruction
Form CMS-10731.GenIC#6 CMS-10731.GenIC#6 - Provider_Type_UX_Study_Moderators_Guide_for_OMB (document unavailable)	Form and Instruction
Form CMS-10731.GenIc#5 Palmetto Web Chat Survey Library (document unavailable)	Form and Instruction
Form CMS-10731.GenIC#4 Medicare_Learning_Network_Provider_Association_Partnership Survey (document unavailable)	Form and Instruction
Form CMS-10731. (GenIC# CMS-10731 (GenIC#1). Was This Page Helfpul Survey	Form and Instruction
Form CMS-10731. (GenIC# CMS-10731. (GenIC#2) CBR Feedback Survey	Form and Instruction
CMS-10731_Supporting_Statement_Part_A (30-day).docx	Supporting Statement A
Electronic Prior Authorization Feedback (CMS-10961)	Form and Instruction
Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Telephone Library of Questions (CMS-10815)	Form
Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Written Correspondence Survey (CMS-10814)	Form and Instruction
Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Audit and Reimbursement (CMS-10812)	Form and Instruction
Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Audit and Reimbursement (CMS-10812)	Form and Instruction
Medicare Administrative Contactors Customer Experience – Medical Review (CMS-10763)	Form and Instruction
Medicare Administrative Contactors Customer Experience – Medical Review (CMS-10763)	Form and Instruction
Overall Flu Campaign Feedback Survey (CMS-10760)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Experience Persistent Feedback (CMS-10721)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Customer Experience (CMS-10720)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Customer Experience (CMS-10720)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Customer Experience (CMS-10720)	Form and Instruction
Medicare Administrative Contractor (MAC) Provider Customer Experience (CMS-10720)	Form and Instruction
CMS-10731.(GenIC#8) - Centers Medicare & Medicaid Services Wasteful and Inappropriate Service Reduction (WISeR) Model Feedback	Form and Instruction
CMS-10941.Medicare Provider Trust Feedback Survey	Form and Instruction
CMS-10731.GenIC#6 - Provider Type UX Study	Form and Instruction
CMS-10731.GenIC#6 - Provider Type UX Study	Form and Instruction
CMS-10731.GenIC#5 - Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Palmetto Web Chat Library of Questions	Form and Instruction
CMS-10731.GenIC#4 - Medicare Learning Network Provider Association Partnership Survey	Form and Instruction
CMS-10731(GenIC#1). Was This Page Helpful Survey	Form and Instruction
CMS-10731.(GenIC#2) - CBR Feedback Survey	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202304-0938-022	New collection (Request for a new OMB Control Number)	2023-04-27		Approved with change

OMB Details

CMS-10731.(GenIC#2) - CBR Feedback Survey

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
Form CMS-10731. (GenIC#2)	CMS-10731. (GenIC#2) CBR Feedback Survey	Fillable Fileable	Form and instruction

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