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

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Documents and Forms

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no available documents/forms check other ICs listed under this ICR

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.