Information Collection Request
Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)
ICR 202406-0938-010 · OMB 0938-0732 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0732 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-R-246 Medicare Advantage (MA) Survey |
Form and Instruction | Modified | Repair queued |
| Form CMS-R-246 MA-PDP Survey |
Form and Instruction | Modified | Repair queued |
| Form CMS-R-246 Fee-For-Service (FFS) Survey |
Form and Instruction | Modified | Repair queued |
 CMS-R-246_MCAHPS Supporting Statement A .docx |
Supporting Statement A | Uploaded 2024-06-25 | Repair queued |
 MA-PDP Survey.csv |
Supplementary Document | Uploaded 2024-06-21 | Repair queued |
| CMS-R-246_MCAHPS Supporting Statement B.docx |
Supporting Statement B | Uploaded 2024-06-21 | Repair queued |
| FFS Survey.csv |
Supplementary Document | Uploaded 2024-06-21 | Repair queued |
| MA-Only Survey.csv |
Supplementary Document | Uploaded 2024-06-21 | Repair queued |
| CMS Response to Public Comments Received for CMS-R-246_60 Day 06 14 2024.docx |
Supplementary Document | Uploaded 2024-06-21 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 8404 |  Medicare Advantage (MA) Survey |
Form and Instruction | Modified | |
| 194258 | MA-PDP Survey |
Form and Instruction | Modified | |
| 194257 | Fee-For-Service (FFS) Survey |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0732 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202305-0938-001 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |