Information Collection

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

IC 254218 under ICR 202510-3206-002 · OMB 3206-0274.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CAHPS Survey Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey	Form and Instruction
CAHPS Survey 2025 CAHPS Survey.pdf	Form and Instruction

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	N/A				No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title: OPM SORN CENTRAL-18-Federal Employees Health Benefits Program Claims Data Warehouse

FR Citation: 84 FR 12569

Number of Respondents: 48,829

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	48,829	-24,676	73,505
Annual IC Time Burden (Hours)	12,207	-6,169	18,376
Annual IC Cost Burden (Dollars)	398,689	200,961	197,728

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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