OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

GenIC#5 Medicare Advantage (MA) and Prescription Drug Plan (PDP) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Web Mode Field Test

IC 248863 under ICR 201904-0938-010 · OMB 0938-1370.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form CMS-10694
MA PD Survey Web Mode Field Test GenIC#5 Medicare Advantage (MA) and Prescription Drug Plan (PDP) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Web Mode Field Test		 Form and Instruction
Form CMS-10694
PDP Survey Web Mode Field Test GenIC#5 Medicare Advantage (MA) and Prescription Drug Plan (PDP) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Web Mode Field Test		 Form and Instruction
Form CMS-10694
MA Survey Web Mode Field Test GenIC#5 Medicare Advantage (MA) and Prescription Drug Plan (PDP) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Web Mode Field Test		 Form and Instruction

Information Collection (IC) Details

Record metadata
IC TitleGenIC#5 Medicare Advantage (MA) and Prescription Drug Plan (PDP) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Web Mode Field Test