Previous Terms of Clearance/Comments: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request. 5) collections approved under this Generic will not be used to make population estimates or to provide generalizable results.
Inventory as of this Action
Requested
Previously Approved
12/31/2020
36 Months From Approved
12/31/2017
61,992
0
41,592
26,588
0
21,488
0
0
0
The purpose of this submission is to request an Information Collection Request (ICR) generic clearance for a program of consumer research aimed at a broad audience of those affected by CMS programs including Medicare, Medicaid, Children's Health Insurance Program (CHIP), and health insurance marketplace (a.k.a. "exchanges"). This program extends strategic efforts to reach and tailor communications to beneficiaries, caregivers, providers, stakeholders, and any other audiences that would support the Agency in improving the functioning of the health care system, improve patient care and outcomes, and reduce costs without sacrificing quality of care. With the clearance, CMS will create a proactive process for rapid collection of data to inform development of communications as well as providing rapid feedback on service delivery for continuous improvement of programs and communications aimed at diverse CMS target audiences.
PL: Pub.L. 111 - 148 2601, 2602 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 3001, 3209 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 1103 Name of Law: Affordable Car Act
PL: Pub.L. 111 - 148 4004 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 2001 & 2101 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 1003 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 3022, 2706, 2703 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
We have adjusted our estimates, requesting an additional 5,100 hours for total of 26,588, save for the hours we would like to rollover from the last approval. The total rollover amount is 8,630 hours, leaving 17,958 for the current submission.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form CMS-10437.GenIC#21 CMS-10437.GenIC#21 - Testing Form 500
CMS-10437.GenericExtension_Supporting Statement A_FINAL-12-21-17.doc
CMS-10437.GenericSMTestingItemBank_FINAL.docx
CMS-10437.GenIC#21 - Testing Form 500