OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Medicare Advantage and Medicare Fee-For-Service CAHPS Survey: Medicare FFS Survey (CMS-R-246)

IC 194257 under ICR 201008-0938-008 · OMB 0938-0732.

Documents and Forms
Document Name
Document Type
Other-Medicare FFS Survey Crosswalk
Information Collection (IC) Details

View Information Collection (IC)

Medicare Advantage and Medicare Fee-For-Service CAHPS Survey: Medicare FFS Survey (CMS-R-246)
 
No New
 
Voluntary
 
42 CFR 423.159 42 CFR 422.152(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Medicare FFS Survey Crosswalk MFFS_CAHPS_CrosswalkOMB1_OMB12.doc No No Paper Only

Health Health Care Services

Privacy Act of 1974: HPMS # 09-70-4004  63 FR 19760

58,500 0
   
Individuals or Households
 
   25 %

  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 58,500 0 58,500 0 0 0
Annual IC Time Burden (Hours) 17,550 0 17,550 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.