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

View Information Collection (IC)

Potential Refinements to the Qualified Health Plan Enrollee Experience Survey (QHP Enrollee Survey): Cognitive Testing OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10889 No   Paper Only
Form CMS-10889 No   Paper Only
Form CMS-10889 No   Paper Only
Form CMS-10889 No   Paper Only

Health Health Care Services

 

50 0
   
Individuals or Households
 
   0 %

  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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance Document 01/29/2024
CMS-10889 - Generic Clearance Template 01/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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