Fee-For-Service (FFS) Survey

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

OMB: 0938-0732

IC ID: 194257

Information Collection (IC) Details

View Information Collection (IC)

Fee-For-Service (FFS) Survey
 
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 Fee-For-Service (FFS) Survey CAHPS_FFS_Survey_2017.docx No   Fillable Printable

Health Health Care Services

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

274,950 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 274,950 0 0 0 0 274,950
Annual IC Time Burden (Hours) 68,738 0 -13,747 0 0 82,485
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk - FFS Survey FFS_survey_crosswalk_2017.docx 07/17/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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