Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Beneficiary Consumer Survey New 1200 300 0 Form and Instruction CMS-10437 Medicare Beneficiary Consumer Survey
Formative Research on Communications and Decision Support in Marketplace 2017 New 600 900 0 Form and Instruction CMS-10427. GenIC#7 Marketplace 2017 Focus Group Guide
GenIC # 4: Web Intercept Survey of HealthCare.gov Visitors New 14000 933 0 Form and Instruction CMS-10437-GenIC#4 Web Intercept Survey of HealthCare.gov Visitors
GenIC #12 - Web Intercept Survey of HealthCare.gov Visitors New 50000 3330 0 Form and Instruction CMS-10437 (GenIC#12) Web Intercept Survey
GenIC#1 - Consumer Testing for the Health Insurance Marketplace's (HIM) Quality Rating System (QRS): Phase 1, Wave 1-Terminology Related to the Health Insurance and Quality New 10 5 0 Form and Instruction CMS-10437 (GenIC#1) QRS Wave 1 Interview Guide
GenIC#10 - Quality Payment Program Provider Awareness Tracking Survey New 2800 700 0 Form and Instruction CMS-10437.GenIC#10 Quality Payment Program Provider Awareness Tracking Survey
GenIC#11 - CMS Consumer Research on Websites and Tools New 200 200 0 Form and Instruction CMS-10437 GenIC#11 - CMS Consumer Research on Websites and Tools
GenIC#13 - Qualitative Research on Communications and Decision Support for Provider Initiatives 2017 New 600 900 0 Form and Instruction CMS-10437 GenIC#13 - Qualitative Research on Communications and Decision Support for Provider Initiatives 2017
GenIC#14 - Medicare Beneficiary Consumer Survey New 4800 1200 0 Form and Instruction CMS-10437 - GenIC#14 Medicare Beneficiary Consumer Survey
GenIC#2 - 2015 Online Provider Assessment Survey New 1200 360 0 Form and Instruction CMS-10437: GenIC#2 2015 Online Provider Assessment Survey
GenIC#3 - Medicare Open Enrollment Survey New 2000 400 0 Form and Instruction CMS-10437 Pre Campaign Survey
Form and Instruction CMS-10437 Post Campaign Survey
GenIC#5 - Consumer Survey of Marketplace Disenrollees New 1000 100 0 Form and Instruction CMS-10437 Consumer Survey of Marketplace Disenrollees
Qualitative Testing of Creative Materials (GenIC#8) New 600 900 0 Form and Instruction CMS-10437 GenIC#8 Qualitative Testing Creative Materials Focus Group Guide
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 79010 10228 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title