Information Collection

HEDIS 3.0 (Health Plan Data and Information Set), CAHPS (Consumer Assessments of Health Plan Study), and Supporting Regulation in 42 CFR 417.470 and 42 CFR 417.126

IC 8401 under ICR 199811-0938-001 · OMB 0938-0732.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0732 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HEDIS 3.0 (Health Plan Data and Information Set), CAHPS (Consumer Assessments of Health Plan Study), and Supporting Regulation in 42 CFR 417.470 and 42 CFR 417.126	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-246				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150,240	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Previously Approved
Annual Number of Responses for this IC	150,240	150,240
Annual IC Time Burden (Hours)	49,579	49,579
Annual IC Cost Burden (Dollars)	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.