CMS Tribal LTSS Program Survey

CMS Tribal Long Term Services and Supports (LTSS) Program Survey

CMS LTSS Survey_Second Follow-up Email_Attachment F_508_Revised

CMS Tribal LTSS Program Survey

OMB: 0938-1350

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Second Follow-up Email
Greetings:
Recently we sent you an email asking you to complete a survey about tribally run long term services and
supports (LTSS) programs on behalf of the Centers for Medicare and Medicaid (CMS). We’d like to urge
you to answer the questionnaire. It should only take about 15 minutes to complete.
Simply click on the link below to begin the survey:
Insert link
The CMS Tribal LTSS survey will encourage the sharing of LTSS best practices across Indian Country and
tribally run programs are the only source we have for this important information. If you have any
questions, please send them to research@kauffmaninc.com.
Sincerely,

The Research Team at KAI

ID No: CMS-10651 | PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0938-New (Expires: TBD). The time required to complete this information collection is estimated to average 15
minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments
concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Mail Stop C4-26-05,
Baltimore, Maryland 21244-1850.


File Typeapplication/pdf
File TitleCMS LTSS Survey Second Follow-up Email Attachment F
SubjectCMS, Centers for Medicare and Medicaid Services, LTSS, Long-term Services and Support, Tribal, Survey, Follow-up Email Document,
AuthorCMS
File Modified2017-06-16
File Created2017-02-14

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