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

View Information Collection (IC)

Medicare Administrative Contractors Customer Experience – Provider Outreach and Education (CMS-10987) CM-FFS
 
New
 
Voluntary
 
42 CFR Part 421  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10987 Yes Yes Fillable Fileable

Health Health Care Services

Privacy Act of 1974; System of Records   86 FR 12699

80,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 80,000 0 80,000 0 0 0
Annual IC Time Burden (Hours) 4,000 0 4,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10987.Medicare Administrative Contractors Customer Experience – Provider Outreach and Education 09/15/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.