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 IVR Phone Script for Survey
End Stage Renal Disease (ESRD) Grievant Satisfaction Survey (IC#5) New 384 77 0 Form and Instruction GenIC #5 ESRD Grievant Satisfaction Survey
Evaluation of Stakeholder Training - Health Insurance Marketplace and Market Stabilization Programs New 100000 417 0 Form and Instruction 0938-1185 Stakeholder Training Forms
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 Cognitive Interview Guide, Screener and Consent Forms
Usability Testing for the Health Insurance Marketplace Websites: Health Insurance Marketplave Consumer Experiernce Surveys Project New 90 135 0 Form and Instruction CMS-10533 Consumer Usability Testing Guide, and Screeners
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