OMB control number
Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731)
OMB 0938-1459 · HHS/CMS.
The Centers for Medicare & Medicaid Services (CMS) is requesting approval to collect generic feedback from respondents including, but not limited to Medicare providers, Medicare suppliers, provider or supplier staff, billers, credentialing agencies, researchers, clearinghouses, consultants, and attorneys. These surveys will give us insights into customers’ perceptions and opinions and will be used to improve customer experiences and communications materials; however, the results will not be generalized to the population of study. Improving agency programs requires ongoing systemic review of service delivery and program operations compared to defined standards. We’ll use multiple methods to collect, analyze, and interpret information from this generic clearance to find the strengths and weaknesses of our current services. We’ll use this feedback to inform process improvements or maintain service quality offered to providers and stakeholders.
The latest form for Generic Clearance for CMS and Medicare Administrative Contractor (MAC)Generic Customer Experience (CMS-10731) expires 2027-01-31 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Supporting Statement A |
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Approved with change |
New collection (Request for a new OMB Control Number) | 2023-04-27 |
CMS-10731.(GenIC#2) - CBR Feedback Survey
Federal Enterprise Architecture: Health - Health Care Services
| Form CMS-10731. (GenIC#2) | CMS-10731. (GenIC#2) CBR Feedback Survey | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.