OMB control number

SHIP-SMP Survey of Group Outreach and Education Events

OMB 0985-0056 · HHS/ACL.

OMB 0985-0056

These voluntary customer surveys will be used (1) to ascertain customer satisfaction with individuals attending group outreach and education events conducted by the State Health Insurance Assistance Program (SHIP) or the Senior Medicare Patrol (SMP) program and (2) to report on annual performance goals as described in Government Performance Results Act The information obtained from this survey will be used by the Administration for Community Living (ACL) federal and regional employees. Specifically, the information will be used to assess customer satisfaction with group outreach and education events that are conducted by the SHIP and SMP programs. The results of the survey could lead to overall agency improvements, including the reallocation of resources, revisions to certain agency processes and policies, and/or development of guidance related to the agency’s customer services. The results of the survey could also lead to improvements for individual Medicare beneficiaries, as improved customer service by the agency will lead to more appropriate Medicare choices for individual citizens, leading to monetary savings for both the individual and the SHIP/SMP program.

The latest form for SHIP-SMP Survey of Group Outreach and Education Events expires 2026-11-30 and can be found here.