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

Medicare CAHPS Survey

⚠️ Notice: This information collection may be referencing outdated material.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 MA, FFS and PDP Surveys CMS-R-246 FFS PDP CAHPS OMB FULL PACKAGE 3 8 2007.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: 42 CFR 422.152(b) 42 CFR 423.159

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 MA, FFS and PDP Surveys	CMS-R-246 FFS PDP CAHPS OMB FULL PACKAGE 3 8 2007.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 660,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	660,000	60,000	600,000
Annual IC Time Burden (Hours)	217,800	19,800	198,000
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.