OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS

IC 251010 under ICR 202501-0935-001 · OMB 0935-0179.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 1
TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS		 Form and Instruction
Form 1
Proposed Approach for Task 3 TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS		 Form and Instruction
Form 2
Proposed Approach for Task 7 TA User Feedback for Program and User Support and Quality Measure Tool Development for CAHPS® and SOPS		 Form and Instruction
1 Proposed Approach for Task 3
CAHPS TA User Feedback 12-16-2021.docx 		Form and Instruction
1 Proposed Approach for Task 3
CAHPS TA User Feedback 12-16-2021.docx 		Form and Instruction
2 Proposed Approach for Task 7
SOPS TA User Feedback 12-16-2021.docx 		Form and Instruction
2 Proposed Approach for Task 7
SOPS TA User Feedback 12-16-2021.docx 		Form and Instruction
CAHPS SOPS TA Feedback OMB Submission 12-16-2021.docx
Supporting Statement		IC Document
CAHPS SOPS TA Feedback OMB Submission 12-16-2021.docx
Supporting Statement		IC Document
OMB Cover Letter.docx
Cover Letter		IC Document
OMB Cover Letter.docx
Cover Letter		IC Document

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 1 Yes Yes Fillable Fileable
Form and Instruction 2 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 240 0 0 0 0 240
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Supporting Statement 01/04/2022
Cover Letter 01/04/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].