Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Beneficiary Contact Center Customer Satisfaction Survey New 145000 5776 0 Form and Instruction CMS-10415
End Stage Renal Disease (ESRD) Grievant Satisfaction Survey (IC#5) New 384 77 0 Form and Instruction GenIC #5
Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs New 100000 417 0 Form and Instruction 0938-1185
Reporting for the Health Insurance Marketplace and Qualified Health Plan Enrollee Experience Surveys: Health Insurance Marketplace Consumer Experience Surveys Project New 90 106 0 Form and Instruction CMS-10534
Usability Testing for the Health Insurance Marketplace Websites: Health Insurance Marketplave Consumer Experiernce Surveys Project New 90 135 0 Form and Instruction CMS-10533
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 245564 6511 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title