View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Account Manager Satisfaction Survey (CMS-10748) OPOLE (MB)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10748 PACE Organization Survey PACE AM Survey Questions Change PRA 2023 Final.docx Yes Yes Fillable Fileable
Form CMS-10748 Medicare Advantage Organization Survey MA PDP Survey Questions_Medicare AM Final.docx Yes Yes Fillable Fileable
Form CMS-10748 ACA Issuers Survey ACA AM Survey Questions Final.docx Yes Yes Fillable Fileable
Other-Emails to Plan Sponsors Emails to Plan Sponsors.docx Yes Yes Fillable Fileable

Health Health Care Services

 

425 0
   
Private Sector Businesses or other for-profits
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 425 0 425 0 0 0
Annual IC Time Burden (Hours) 71 0 71 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast Track Supporting Statement CMS-10748 - Fast Track Supporting Statement (2023 version 5).docx 12/05/2023
Track Changes: Medicare Advantage Organization survey MA PDP Survey Questions_Medicare AM Track changes.docx 12/05/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.