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 202504-0938-008 · OMB 0938-0732 · Active
⚠️ Notice: This information collection may be outdated.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 | Available |
| 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 | Available |
| 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 | Available |
| Form CMS-R-246 Fee-For-Service (FFS) Survey |
Form and Instruction | Modified | Repair queued |
 CMS-R-246. Non-Sub Change Request Memo 2025.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-04-24 | Repair queued |
| CMS-R-246. Non-Sub Change Request Memo 2025.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-04-24 | Repair queued |
 DRAFT MCAHPS - Crosswalk 2025-2-19.xlsx |
Supplementary Document | Uploaded 2025-04-08 | Repair queued |
| DRAFT MCAHPS - Crosswalk 2025-2-19.xlsx |
Supplementary Document | Uploaded 2025-04-08 | Repair queued |
| CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docx |
Supporting Statement A | Uploaded 2025-04-08 | Repair queued |
| CMS-R-246_ MCAHPS Supporting Statement A 2025 Non-Sub .docx |
Supporting Statement A | Uploaded 2025-04-08 | Repair queued |
| CMS-R-246_MCAHPS Supporting Statement B.docx |
Supporting Statement B | Uploaded 2024-06-21 | Available |
| CMS-R-246_MCAHPS Supporting Statement B.docx |
Supporting Statement B | Uploaded 2024-06-21 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 8404 |  Medicare Advantage (MA) Survey |
Form and Instruction | Modified | |
| 8404 | Medicare Advantage (MA) Survey |
Form and Instruction | Modified | |
| 194258 | MA-PDP Survey |
Form and Instruction | Modified | |
| 194258 | MA-PDP Survey |
Form and Instruction | Modified | |
| 194257 | Fee-For-Service (FFS) Survey |
Form and Instruction | Modified | |
| 194257 | Fee-For-Service (FFS) Survey |
Form and Instruction | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0732 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202406-0938-010 |
| Agency Tracking No | CM-CPC |
| Date Submitted to OIRA | 2025-04-24 |
| Requested Expiration Date | 1969-12-31 |