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

Medicare Advantage and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey

OMB: 0938-0732

IC ID: 194257

Information Collection (IC) Details

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Medicare Advantage and Medicare Fee-For-Service CAHPS Survey: Medicare FFS Survey (CMS-R-246)
 
No Modified
 
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
Form and Instruction CMS-R-246 Medicare FFS Survey Medicare FFS Survey.pdf No No Paper Only

Health Health Care Services

Privacy Act of 1974: HPMS # 09-70-4004  63 FR 43187

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

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