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CMS-10710.GenIC#8 - High Impact Trust Survey Medicare

IC 265830 under ICR 202402-0938-008 · OMB 0938-1382.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

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CMS-10710.GenIC#8 - High Impact Trust Survey Medicare
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10710.GenIC #8 High Impact Trust Survey Medicare (Instrument) CMS-10710.GenIC#8.High Impact Trust Survey Medicare (Instrument).docx Yes Yes Fillable Fileable

Health Health Care Services

 

10,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10,000 0 10,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10710.GenIC#8. ICR Template_A11 Section 280 Clearance CMS-10710.GenIC#8. ICR Template_A11 Section 280 Clearance.docx 03/06/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.