Information Collection

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

IC 8404 under ICR 200611-0938-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.