The Medicare Managed Care CAHPS Survey : CMS-R-246

The Medicare Managed Care CAHPS Survey and Supporting Regulations in 42 CFR 417.126 and 417.470

⚠️ Notice: This information collection may be referencing outdated material.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
Form CMS-R-246 The Medicare Managed Care CAHPS Survey : CMS-R-246 Form and Instruction
CMS-R-246 Medicare Advantage Prescription Drug Plan Survey CMS-R-246 Medicare CAHPS Survey Part B OMB Supporting Statement.doc Form and Instruction

Information Collection (IC) Details

IC Title:	The Medicare Managed Care CAHPS Survey : CMS-R-246	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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-R-246	Medicare Advantage Prescription Drug Plan Survey	CMS-R-246 Medicare CAHPS Survey Part B OMB Supporting Statement.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	600,000	432,000	168,000
Annual IC Time Burden (Hours)	198,000	142,550	55,450
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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