Information Collection Request

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

ICR 202402-0938-008 · OMB 0938-1382 · Active

Forms and Documents

Document	Type	Status	Availability
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (REVISON)	Form and Instruction	New	Available
Form CMS-10710.GenIC #8 CMS-10710.GenIC#8 - High Impact Trust Survey Medicare	Form and Instruction	New	Repair queued
Form CMS-10710.GenIc#7 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)	Form and Instruction	Unchanged	Available
Form CMS-10710.GenIc#7 CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)	Form and Instruction	Unchanged	Repair queued
Form CMS-10710.GenIC#6 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	Form and Instruction	Unchanged	Available
Form CMS-10710.GenIC#6 CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	Form and Instruction	Unchanged	Repair queued
Form CMS-10710.GenIC#5 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280)	Form and Instruction	Unchanged	Available
Form CMS-10710.GenIC#5 CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280)	Form and Instruction	Unchanged	Repair queued
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)	Form and Instruction	Unchanged	Available
Form CMS-10710.GenIC#4 CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)	Form and Instruction	Unchanged	Repair queued
0938-1382.Justification of Non-sub Change (Technical Correction)-2-29-24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-02-29	Available
0938-1382.Justification of Non-sub Change (Technical Correction)-2-29-24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-02-29	Repair queued
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-02-20	Available
0938-1382.Justification of Non-sub Change (Burden Ceiling Increase)-2-20-24.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-02-20	Repair queued
ICR Template_A11 Section 280 Clearance.docx	Supplementary Document	Uploaded 2023-11-21	Available
ICR Template_A11 Section 280 Clearance.docx	Supplementary Document	Uploaded 2023-11-21	Missing upstream
CMS-10710.SupportingStatementPartA (revised final).docx	Supporting Statement A	Uploaded 2023-11-21	Available
CMS-10710.SupportingStatementPartA (revised final).docx	Supporting Statement A	Uploaded 2023-11-21	Missing upstream
CMS-10710.SupportingStatementPartB (30-day).docx	Supporting Statement B	Uploaded 2023-09-30	Available
CMS-10710.SupportingStatementPartB (30-day).docx	Supporting Statement B	Uploaded 2023-09-30	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
265831	CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (REVISON)	Form and Instruction	New
265830	CMS-10710.GenIC#8 - High Impact Trust Survey Medicare	Form and Instruction	New
262622	CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)	Form and Instruction	Unchanged
262622	CMS-10710.GenIC#7 - Medicare IVR Customer Sat Survey (A11 Section 280) (30-day)	Form and Instruction	Unchanged
262621	CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	Form and Instruction	Unchanged
262621	CMS-10710.GenIC #6 - Marketplace IVR Customer Sat Survey (A11 Section 280)	Form and Instruction	Unchanged
262620	CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280)	Form and Instruction	Unchanged
262620	CMS-10710.GenIC#5 - Medicare.gov Web Sat Survey (A11 Section 280)	Form and Instruction	Unchanged
262619	CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)	Form and Instruction	Unchanged
262619	CMS-10710.GenIC#4 - Healthcare.gov Web Satisfaction Survey (A11 Section 280)	Form and Instruction	Unchanged

ICR Details

Status	Active
Agency/Subagency	HHS/CMS
OMB Control No	0938-1382
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202402-0938-006
Agency Tracking No	OC
Date Submitted to OIRA	2024-02-29
Requested Expiration Date	1969-12-31