MA-PDP 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: 194258

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

MA-PDP 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 MA-Prescription Drug Plan Survey MA-PDSurvey.pdf No   Fillable Fileable
Form and Instruction CMS-R-264 Prescription Drug Plan survey PDPSurvey.pdf No   Fillable Fileable

Health Health Care Services

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

81,000 0
   
Individuals or Households
 
   0 %

  Requested 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 81,000 0 0 -16,500 0 97,500
Annual IC Time Burden (Hours) 13,770 0 0 -2,805 0 16,575
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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