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Medicare Administrative Contractor (MAC) Customer Experience (MCE) Program – Provider Contact Center - Telephone Library of Questions (CMS-10815)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10815 Yes Yes Fillable Fileable

Health Health Care Services

09-90-1901 HHS Correspondence, Customer Service, and Contact List Records SORN  84 FR 28823

60,000 0
   
Individuals or Households
 
   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 60,000 0 60,000 0 0 0
Annual IC Time Burden (Hours) 2,000 0 2,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10815.Telephone Fast Track Submission Form 04/06/2026
CMS-10815.PRA Disclosure Statements 04/06/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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