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Medicare OMBudsman Customer Service Feedback Survey (CMS-10068)
OMB 0938-0894
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HHS/CMS
OMB 0938-0894
OMB 0938-0894
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10068 MEDICARE OMBUDSMAN CUSTOMER SERVICE FEEDBACK SURVEY
Form and Instruction
CMS-10068 (0938-0894) Survey 2016 Crosswalk.docx
Supplementary Document
CMS-10068 (0938-0894) Non-SubstantiveChangeRequest (Dec 2015).docx
Justification for No Material/Nonsubstantive Change
CMS-10068ResponsetoPublicComments.docx
Supplementary Document
Survey 2014 Crosswalk - 5-20-14.docx
Supplementary Document
CMS-10068SupportingStatement-PartB.pdf
Supporting Statement B
CMS-10068SupportingStatement-PartA.docx
Supporting Statement A
MEDICARE OMBUDSMAN CUSTOMER SERVICE FEEDBACK SURVEY
Form and Instruction
All Historical Document Collections
201512-0938-002
Approved without change
No material or nonsubstantive change to a currently approved collection
2015-12-09
201410-0938-015
Approved without change
Reinstatement with change of a previously approved collection
2014-10-28
201009-0938-007
Approved without change
Reinstatement without change of a previously approved collection
2010-09-22
200605-0938-012
Approved without change
No material or nonsubstantive change to a currently approved collection
2006-05-01
200501-0938-008
Approved with change
Extension without change of a currently approved collection
2005-01-28
200303-0938-010
Approved with change
New collection (Request for a new OMB Control Number)
2003-03-25
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