Information Collection Request

Medicare Advantage and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)

ICR 201505-0938-006 · OMB 0938-0732 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-R-246 Medicare Advantage Surveys Form and Instruction Modified Available
Form CMS-R-246 Prescription Drug Plan Survey Form and Instruction Modified Available
Form CMS-R-246 Medicare Fee-For-Service CAHPS Survey Form and Instruction Modified Available
Form CMS-R-246 MA and PDP Contracts Form and Instruction Modified Available
Response to Comments to OMB MCAHPS.DOC Supplementary Document Uploaded 2015-06-03 Available
CMS-R-246 - Supporting Statement B [rev 5-8-2015 by OSORA PRA].doc Supporting Statement B Uploaded 2015-06-03 Available
CMS-R-246 - Supporting Statement A [rev 6-02-2015 by OSORA PRA].doc Supporting Statement A Uploaded 2015-06-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
8404 Medicare Advantage Surveys Form and Instruction Modified
194258 Prescription Drug Plan Survey Form and Instruction Modified
194257 Medicare Fee-For-Service CAHPS Survey Form and Instruction Modified
194256 MA and PDP Contracts Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved 07/31/2015
800,249 0 598,809
310,086 0 249,441
2,995,000 0 3,045,000





Reginfo record details
4
table that charts list of burden
IC Title Form No. Form Name
Prescription Drug Plan Survey CMS-R-246 Prescription Drug Plan Survey
MA and PDP Contracts CMS-R-246, CMS-R-246 MA-only Survey ,   MA-PD Survey
Medicare Advantage Surveys CMS-R-246, CMS-R-246 Medicare Advantage Prescription Drug Survey ,   Medicare Advantage Plan Survey
Medicare Fee-For-Service CAHPS Survey CMS-R-246 Medicare Fee-For-Service CAHPS Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 800,249 598,809 0 0 201,440 0
Annual Time Burden (Hours) 310,086 249,441 0 0 60,645 0
Annual Cost Burden (Dollars) 2,995,000 3,045,000 0 -50,000 0 0


Reginfo record details
  No