GenIC #27 Qualitative Testing of Message Concepts for Nursing Home Career Outreach

Generic Social Marketing & Consumer Testing Research (CMS-10437)

Documents and Forms

Document Name Document Type
Form CMS-10437.GenIC#27 GenIC #27 Qualitative Testing of Message Concepts for Nursing Home Career Outreach Form and Instruction
CMS-10437.GenIC#27 Nursing Outreach Discussion Guide CMS-10437.GenIC#27 - Attachment 3 Nursing Outreach Discussion Guide 20230918.docx Form and Instruction
CMS-10437.GenIC#27 Nursing Outreach Discussion Guide CMS-10437.GenIC#27 - Attachment 3 Nursing Outreach Discussion Guide 20230918.docx Form and Instruction
CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation.docx CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation IC Document
CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation.docx CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation IC Document
CMS-10437.GenIC#27 NHS qual App to use burden hrs.docx CMS-10437.GenIC#27 NHS qual App to use burden hrs IC Document
CMS-10437.GenIC#27 NHS qual App to use burden hrs.docx CMS-10437.GenIC#27 NHS qual App to use burden hrs IC Document

Information Collection (IC) Details

IC Title:	GenIC #27 Qualitative Testing of Message Concepts for Nursing Home Career Outreach	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10437.GenIC#27	Nursing Outreach Discussion Guide	CMS-10437.GenIC#27 - Attachment 3 Nursing Outreach Discussion Guide 20230918.docx		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation	CMS-10437.GenIC#27 Attachment 1 NHS qual Study Initiation.docx	08/06/2024
CMS-10437.GenIC#27 NHS qual App to use burden hrs	CMS-10437.GenIC#27 NHS qual App to use burden hrs.docx	08/06/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.