Information Collection Request

Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey

ICR 202510-3206-002 · OMB 3206-0274 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CAHPS Survey Form and Instruction Modified Available
Statement A 2025_3206-0274.docx Supporting Statement A Uploaded 2025-10-31 Available
Comment CAHPS.html Public Comments Uploaded 2025-10-31 Available
Statement B 2025_3206-0274.docx Supporting Statement B Uploaded 2025-10-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
254218 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey Form and Instruction ModifiedCAHPS Survey

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 05/31/2026
48,829 73,505
12,207 18,376
398,689 197,728





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey N/A

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 48,829 73,505 0 -24,676 0 0
Annual Time Burden (Hours) 12,207 18,376 0 -6,169 0 0
Annual Cost Burden (Dollars) 398,689 197,728 0 200,961 0 0


Reginfo record details
  No