Health Plan Information

Collection of Information for Agency for Healthcare Research and Qualitys (AHRQ) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey Comparative Database

OMB: 0935-0165

IC ID: 192647

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Health Plan Information
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #3 Health Plan Information Attachment B-1 -- Submssion Screen Shots.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

70 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 280 0 280 0 0 0
Annual IC Time Burden (Hours) 140 0 140 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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