Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMS-10437.GenIC #12 - Web Intercept Survey of HealthCare.gov Visitors New 50000 3330 0 Form and Instruction CMS-10437.GenIC#12 Web Intercept Survey
CMS-10437.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
CMS-10437.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
CMS-10437.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
CMS-10437.GenIC#14 - Medicare Beneficiary Consumer Survey New 4800 1200 0 Form and Instruction CMS-10437.GenIC#14 Medicare Beneficiary Consumer Survey
CMS-10437.GenIC#17 - Formative Research and Materials Testing for Medicare New 600 900 0 Form and Instruction CMS-10437.GenIC#17 Formative Research and Materials Testing for Medicare Focus Group Guide
CMS-10437.GenIC#21 - Testing Form 500 New 27 27 0 Form and Instruction CMS-10437.GenIC#21 - Guide for Testing Form500 (fi CMS-10437.GenIC#21 - Guide for Testing Form500 (final 11-24-20)
CMS-10437.GenIC#23 - OE Marketplace Customer Service Survey New 4800 1200 0 Form and Instruction CMS-10437.GenIC#23 - MarketplaceOESurveyInstrument CMS-10437.GenIC#23 - MarketplaceOESurveyInstrument
CMS-10437.GenIC#3 - Medicare Open Enrollment Survey New 2000 400 0 Form and Instruction CMS-10437.GenIC#3 OMB OE PRE CAMPAIGN SURVEY.docx
Form and Instruction CMS-10437.GenIC#3 OMB OE POSTCAMPAIGN SURVEY.docx
CMS-10437.GenIC#5 - Consumer Survey of Marketplace Disenrollees New 1000 100 0 Form and Instruction CMS-10437.GenIC#5 Consumer Survey of Marketplace Disenrollees
CMS-10437.GenIC#7 - Formative Research on Communications and Decision Support in Marketplace 2017 New 600 900 0 Form and Instruction CMS-10437.GenIC#7 Marketplace 2017 Focus Group Guide
CMS-10437.GenIC#8 - Qualitative Testing of Creative Materials New 600 900 0 Form and Instruction CMS-10437.GenIC#8 Qualitative Testing Creative Materials Focus Group Guide
CMS-10437.GenIc#19 - Marketplace Consumer Persona Research New 160 400 0 Form and Instruction CMS-10437.GenIC#19. HIM pre-group workbook insured CMS-10437.GenIC#19. HIM pre-group workbook insured
Form and Instruction CMS-10437.GenIC#19.HIM pre-group workbook uninsure CMS-10437.GenIC#19. HIM pre-group workbook uninsured
Form and Instruction CMS-10437.GenIC#19 CMS-10437.GenIC#19.Marketplace Persona Focus Group Guide-Insured
Form and Instruction CMS-10437.GenIC#19 CMS-10437.GenIC#19.Marketplace Persona Focus Group Guide-Uninsured
GenIC#16 Qualitative Testing of Creative Materials for Medicare New 1000 1500 0 Form and Instruction CMS-10437.GenIC#16 GenIC#16 - MedicareCreativeTesting_FGguide_FINAL.docx
GenIC#18 - Medicare Advantage Regional Outreach Experiment Survey New 1600 267 0 Form and Instruction CMS-10437- GenIC#18 Medicare Advantage Regional Outreach Experiment Survey (Online Version)
Form and Instruction CMS-1037 GenIC#18 CMS-10437#18.Medicare Advantage Survey (Telephone Version)
GenIC#20 - Medicare Online Qualitative Panel Monthly Survey New 6000 500 0 Form and Instruction CMS-10437.GenIC#20 CMS-10437.GenIC#20 -Qualitative Panel Survey (final)
GenIC#22 - Medicare Telehealth Beneficiary Survey New 1000 167 0 Form and Instruction CMS--10437.GenIC#22 Beneficiary Telemedicine Survey- Questionnaire
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 77787 13591 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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