Information Collection

Business

IC 265988 under ICR 202403-0579-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CAHPS MICO app screenshots.docx	Instruction
CAHPS Workbook.docx	Instruction
CAHPS Workbook (20240920).docx	Instruction
CAHPS MICO app screenshots (20240920).docx	Instruction
CAHPS Inspection Guidelines_Version1.1_Jan2023.docx CAHPS Inspection Guideliness	IC Document
CAHPS Inspection Guidelines_Version1.1_Jan2023.docx CAHPS Inspection Guideliness	IC Document

IC Title:

Business

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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
Instruction			CAHPS Workbook (20240920).docx		Yes	Yes	Fillable Fileable
Instruction			CAHPS MICO app screenshots (20240920).docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 24

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	395	395
Annual IC Time Burden (Hours)	378	378
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CAHPS Inspection Guideliness	CAHPS Inspection Guidelines_Version1.1_Jan2023.docx	03/13/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.