Medicare Advantage and Medicare Fee-For-Service CAHPS Survey: Stand Alone PDP 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: 194258

Information Collection (IC) Details

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Medicare Advantage and Medicare Fee-For-Service CAHPS Survey: Stand Alone PDP Survey (CMS-R-246)
 
No Modified
 
Voluntary
 
42 CFR 423.156

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-R-246 Stand Alone PDP Survey Stand Alone PDP Survey.pdf No No Fillable Fileable

Health Health Care Services

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

81,000 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 112,500 0 31,500 0 0 81,000
Annual IC Time Burden (Hours) 28,125 0 7,875 0 0 20,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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