Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMS-10437. GenIC#27 - Qualitative Testing of Message Concepts for Nursing Home Career Outreach New 300 450 0 Form and Instruction CMS-10437.GenIC#27 Nursing Outreach Discussion Guide
CMS-10437.GenIC #26 - Nursing Home Career Outreach Tracker New 2000 333 0 Form and Instruction CMS-10427 (GenIC#26) Nursing Home Career Outreach Tracker
CMS-10437.GenIC#28 - Marketplace and Medicare Health Insurance Literacy Survey New 2400 600 0 Form and Instruction CMS-10437.GenIC#28 Marketplace and Medicare Health Insurance Literacy Survey
GenIC #10: Quality Payment Program Provider Awareness Tracking Survey New 2800 700 0 Form and Instruction CMS-10437.GenIC#10 CMS-10437.GenIC#10 - QPPTracker_Survey_FINAL
GenIC #11: CMS Consumer Research on Websites and Tools New 200 1000 0 Form and Instruction CMS-10437.GenIC#11 CMS-10437.GenIC#11.WebToolsResearch_Instrument_FINAL
GenIC #13: Qualitative Research on Communications and Decision Support for Provider Initiatives New 600 900 0 Form and Instruction CMS-10437. GenIC#13 CMS-10437. GenIC#13 - ProviderDecisionSupport_ModGuide_FINAL.docx
GenIC #16 Qualitative Testing of Creative Materials for Medicare New 1000 1500 0 Form and Instruction CMS-10437.GenIC#16 CMS-10437.GenIC#16 - MedicareCreativeTesting_FGguide_FINAL
GenIC #17 Formative Research and Materials Testing for Medicare New 600 900 0 Form and Instruction CMS-10437.GenIC#17 CMS-10437.GenIC#17 - FormativeandMatsMedicare_FGGuide_FINAL
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).docx
GenIC #22.Medicare Telehealth Beneficiary Survey New 1000 167 0 Form and Instruction CMS-10437.GenIC #22 CMS-10437.GenIC #22 - CMS Beneficiary Telemedicine Survey- Questionnaire REV.docx
GenIC #23 Marketplace OE survey New 4800 1200 0 Form and Instruction CMS-10437.GenIC#23 CMS-10437.GenIC#23 - OE Marketplace Customer Service Surve
GenIC #25: Medicare Savings Program and Extra Help Awareness Survey New 2000 333 0 Form and Instruction CMS-10437.GenIC#25 Medicare Savings Program and Extra Help Awareness Survey
GenIC #3: Medicare Open Enrollment Survey New 2000 800 0 Form and Instruction CMS-10437.GenIC #3 CMS-10437.GenIC #3 -OMB OE PRE CAMPAIGN SURVEY
Form and Instruction CMS-10437.GenIC #3 CMS-10437.GenIC #3 - OMB OE POSTCAMPAIGN SURVEY
GenIC #7: Formative Research on Communications and Decision Support in Marketplace New 600 900 0 Form and Instruction CMS-10437.GenIC#7 - Marketplace 2017_FGGuide_FINAL CMS-10437.GenIC#7 - Marketplace 2017_FGGuide_FINAL_10_26_16
GenIC #8: Qualitative Testing of Creative Materials New 600 900 0 Form and Instruction CMS-10437(GenIC#8) CMS-10437(GenIC#8) QualitativeTestingCreativeMaterials_FocusGroupguide_
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 26900 11183 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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