Generic Clearance for the Center for Clinical Standards and Quality IT Product and Support Teams (CMS-10706)

ICR 202405-0938-010

OMB: 0938-1397

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10896 CCSQ Support Central Live Chat and Virtual Agent Enhancement Survey (CMS-10896) Form and Instruction	New
Form CMS-10886 CCSQ Support Central Knowledge/Resource Center Survey (CMS-10886) Form and Instruction	New
Form CMS-10800 Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800 revised) Form and Instruction	New
Form CMS-10871 Hospital Quality Reporting User Language Card Sort (CMS-10871) Form and Instruction	New
Form CMS-10817 Hospital Quality Reporting User Research Participation Interest Survey (CMS-10817 revised) Form and Instruction	New
Form CMS-10838 QPP Submissions Intercept Survey (CMS-10838) Form and Instruction	New
Form CMS-10832 Chat/CCSQ Support Central – Basic information questions (CMS-10832) Form and Instruction	New
Form CMS-10833 Customer Effort Scoring - Surveys (CMS-10833) Form and Instruction	New
Form CMS-10818 Center for Clinical Standards and Quality (CCSQ) Support Central Customer Satisfaction Survey (CMS-10818) Form and Instruction	New
Form CMS-10810 Internet Quality Improvement and Evaluation System (IQIES) Idea Portal (CMS-10810) Form and Instruction	New
Form CMS-10808 Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808) Form and Instruction	New
Form CMS-10804 Quality Payment Program Site Intercept Survey (CMS-10804) Form and Instruction	New
CMS-10706 Template_CCSQ Generic Clearance_07192021_clean copy.docx Supplementary Document	2021-07-20
CMS-10706_SuppStmt_Part B_final 2-22-24 .docx Supporting Statement B	2024-05-09
CMS-10706_SuppStmt_Part A_FINAL-2024-02-22.docx Supporting Statement A	2024-05-09

IC Document Collections

IC ID	Document Title	Status
267567	CCSQ Support Central Live Chat and Virtual Agent Enhancement Survey (CMS-10896) Form and Instruction	New
267566	CCSQ Support Central Knowledge/Resource Center Survey (CMS-10886) Form and Instruction	New
267565	Single Ease Question for User Insights on Hospital Quality Reporting (CMS-10800 revised) Form and Instruction	New
267563	Hospital Quality Reporting User Language Card Sort (CMS-10871) Form and Instruction	New
267561	Hospital Quality Reporting User Research Participation Interest Survey (CMS-10817 revised) Form and Instruction	New
267559	QPP Submissions Intercept Survey (CMS-10838) Form and Instruction	New
267557	Chat/CCSQ Support Central – Basic information questions (CMS-10832) Form and Instruction	New
267555	Customer Effort Scoring - Surveys (CMS-10833) Form and Instruction	New
267554	Center for Clinical Standards and Quality (CCSQ) Support Central Customer Satisfaction Survey (CMS-10818) Form and Instruction	New
267553	Internet Quality Improvement and Evaluation System (IQIES) Idea Portal (CMS-10810) Form and Instruction	New
267551	Internet Quality Improvement and Evaluation System (iQIES) HCD User Research Form (CMS-10808) Form and Instruction	New
267550	Quality Payment Program Site Intercept Survey (CMS-10804) Form and Instruction	New