OMB control number
OMHA Annual Appellant Climate Survey
OMB 0990-0330 · HHS/HHSDM.
The Office of Medicare Hearings and Appeals (OMHA)requests a three year programmatic clearance from the OMB to conduct customer research through external surveys by means of telephone interviews and web-based suveys. The proposed information collection request covers all types of OMHA appellants, with a primary focus on the three appellant types who receive benefits from OMHA-beneficiares, providers, and suppliers.
The latest form for OMHA Annual Appellant Climate Survey expires 2027-08-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Supporting Statement A |
Supplementary Document |
Supporting Statement B |
Form Appendix B1 Health Care Providers and Suppliers
60-day FRN 0990-0330.pdf
Beneficiaries |
Approved with change |
Revision of a currently approved collection | 2024-04-19 | |
|
Approved with change |
Revision of a currently approved collection | 2021-05-26 | |
|
Approved with change |
Revision of a currently approved collection | 2018-01-30 | |
|
Approved without change |
Extension without change of a currently approved collection | 2014-11-26 | |
|
Approved without change |
Reinstatement with change of a previously approved collection | 2011-10-17 | |
|
Improperly submitted and continue |
Revision of a currently approved collection | 2011-09-30 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2008-04-24 |
Health Care Providers and Suppliers
Federal Enterprise Architecture: General Government - Executive Functions
| Form Appendix B2 | Appellant Climate Survey Telephone Spanish | Fillable Fileable | Form and instruction |
| Form Appendix B1 | Appellant Climate Survey Telephone English | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.