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
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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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 Medicare Advantage and Prescription Drug Plan (MA & PDP) CAHPS Survey 2025-MA-PD-Survey.docx No   Fillable Fileable
Form and Instruction CMS-R-264 Medicare Advantage and Prescription Drug Plan Survey - Chinese 2025-MA-PD-Survey-Chinese.pdf No   Fillable Fileable
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Chinese 2025-PDP-Survey-Chinese.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Korean 2025-MA-PD-Survey-Korean.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Korean 2025-PDP-Survey-Korean.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Spanish 2025-MA-PD-Survey-Spanish.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Spanish 2025-PDP-Survey-Spanish.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Tagalog 2025-MA-PD-Survey-Tagalog.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Tagalog 2025-PDP-Survey-Tagalog.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Medicare Advantage and Prescription Drug Plan Survey - Vietnamese 2025-MA-PD-Survey-Vietnamese.pdf No   Fillable Printable
Form and Instruction CMS-R-246 Prescription Drug Plan Survey - Vietnamese 2025-PDP-Survey-Vietnamese.pdf No   Fillable Printable

Health Health Care Services

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

79,500 0
   
Individuals or Households
 
   0 %

  Approved 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 79,500 0 0 0 0 79,500
Annual IC Time Burden (Hours) 13,515 0 0 0 0 13,515
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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