Prescription Drug Plan Survey

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

OMB: 0938-0732

IC ID: 194258

Information Collection (IC) Details

View Information Collection (IC)

Prescription Drug Plan Survey
 
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 Prescription Drug Plan Survey PDP Survey.pdf No   Fillable Fileable

Health Health Care Services

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

97,500 0
   
Individuals or Households
 
   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 97,500 0 0 -15,000 0 112,500
Annual IC Time Burden (Hours) 24,375 0 0 -3,750 0 28,125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk - Prescription Drug Plan Survey PDP survey crosswalk.pdf 06/03/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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