OMHA Annual Appellant Climate Survey

OMB 0990-0330

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 2021-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Appendix B1 Health Care Providers and Suppliers Form and Instruction
Appellant Climate Survey OMB Part A - Final.docx Supporting Statement A
60-day FRN 0990-0330.pdf Supplementary Document
Appellant Climate Survey OMB Part B - Revised4 Final.docx Supporting Statement B
Beneficiaries Other-Introductory Letter English
Health Care Providers and Suppliers Form and Instruction

OMB Details

Health Care Providers and Suppliers

Federal Enterprise Architecture: General Government - Executive Functions

202403-0990-005	Revision of a currently approved collection	2024-04-19
202103-0990-004 Approved with change	Revision of a currently approved collection	2021-05-26
201709-0990-001 Approved with change	Revision of a currently approved collection	2018-01-30
201411-0990-001 Approved without change	Extension without change of a currently approved collection	2014-11-26
201110-0990-001 Approved without change	Reinstatement with change of a previously approved collection	2011-10-17
201109-0990-004 Improperly submitted and continue	Revision of a currently approved collection	2011-09-30
200804-0990-003 Approved without change	New collection (Request for a new OMB Control Number)	2008-04-24