Information Collection

Health Plan Data and Information Set (HEDIS) 3.0 and Consumer Assessments of Health Plan Study (CAHPS) and Supporting Regulations CFR 417.470 and 42 CFR

IC 8324 under ICR 199708-0938-001 · OMB 0938-0701.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0701 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Health Plan Data and Information Set (HEDIS) 3.0 and Consumer Assessments of Health Plan Study (CAHPS) and Supporting Regulations CFR 417.470 and 42 CFR	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	HCFA-R-200				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 293,834	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	293,834	-13,320	307,154
Annual IC Time Burden (Hours)	186,320	0	186,320
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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