Information Collection

Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey

IC 254218 under ICR 202206-3206-001 · OMB 3206-0274.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0274 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OMB 3206-0274 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey	Form and Instruction
OMB 3206-0274 Consumer Assessment of Healthcare Providers and Systems 2022 CAHPS 5.1H Adult Commercial Survey.pdf	Form and Instruction
OMB 3206-0274 Consumer Assessment of Healthcare Providers and Systems CAHPS Health Plan Survey 3206_0274 2022.docx	Form and Instruction

IC Title:

Consumer Assessment of Healthcare Providers and Systems (CAHPSÂ®) Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OMB 3206-0274	Consumer Assessment of Healthcare Providers and Systems (CAHPSÂ®) Survey	CAHPS Health Plan Survey 3206_0274 2022.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: OPM SORN CENTRAL-18-Federal Employees Health Benefits Program Claims Data Warehouse

FR Citation: 84 FR 12569

Number of Respondents: 73,505

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	73,505	73,505
Annual IC Time Burden (Hours)	18,376	18,376
Annual IC Cost Burden (Dollars)	197,728	197,728

Documents for IC

table that charts IC Documents
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.