3. Attachment A_Table of Updates to PRA Package Materials

Attachment A – Table of Updates Since the 2023 PRA Submission
PRA Package Material

Submitted in
2023?

Submitted in
2025?

Summary of Changes

1

Supporting Statement Part A: Collection of
Information Background, Justification, Burden
Estimates, Attachments

Yes

Yes

Updates made throughout Supporting Statement A
to document the revised survey instrument.
Additional updates made to Attachments as
documented in this table below.

2

Supporting Statement Part B: Collection of Information
Employing Statistical Methods

Yes

Yes

Updates made throughout Supporting Statement B
to document the revised survey instrument.

3

Attachment A: Table of Updates Since the 2023 PRA
Submission

No

Yes

This is a new attachment that details the updates
made to the 2025 PRA submission since the prior
submission in 2023.

4

Attachment B: Crosswalk—Comparison of Current and
Proposed HHCAHPS Survey Instruments

No

Yes

This is a new attachment that details the updates
and edits to the Revised HHCAHPS Survey
instrument for 2025.

5

Attachment C: Proposed HHCAHPS Survey mail
questionnaire in all languages (English, Spanish,
Simplified Chinese, Traditional Chinese, Russian,
Vietnamese, and Eastern Armenian)

Yes

Yes

Survey Instrument was revised for proposed
changes to survey items. See Attachment A of the
PRA package for a detailed list of the changes by
question. The 2023 PRA package submission
included on the English language version of the
mail survey.

6

Attachment D.1: HHCAHPS English Lead Letter
(Survey Cover Letter) – 1st mailing

Yes

Yes

No changes to the letter since 2023. Please see
attachment for a copy of the letter.

7

Attachment D.2: HHCAHPS English Lead Letter
(Survey Cover Letter) – 2nd mailing

Yes

Yes

No changes to the letter since 2023. Please see
attachment for a copy of the letter.

8

Attachment D.3: HHCAHPS English Telephone/CATI
Survey Instrument – Standard version

Yes

Yes

Survey Instrument was revised for proposed
changes to survey items. See Attachment A of the
PRA package for a detailed list of the changes by
question. We have provided a track change version
of the CATI instrument.

9

Attachment D.4: HHCAHPS English Telephone/CATI
Survey Instrument – Proxy version

Yes

Yes

Survey Instrument was revised for proposed
changes to survey items. See Attachment A of the

Attachment A - Table of Updates Since the 2023 PRA Submission

PRA Package Material

Submitted in
2023?

Submitted in
2025?

Summary of Changes
PRA package for a detailed list of the changes by
question. We have provided a track change version
of the CATI proxy instrument.

10

Attachment E: Chapter 4 of the HHCAHPS Protocols &
Guidelines Manual

Yes
Ver. 12.0

Yes
Ver 17.0

11

Attachment F: Participation Exemption Request (PER)
Form

Yes
2024 APU

Yes
2026 APU

12

Record of Information Collection Clearances

Yes

Yes

Minor updates to the form sections to align with the
new PRA request for the revised survey.

13

Form 83 Part 1

Yes

Yes

Minor updates to the form sections to align with the
new PRA request for the revised survey.

14

Form 83 Part 2

Yes

Yes

Minor updates to the form sections to align with the
new PRA request for the revised survey.

Attachment A - Table of Updates Since the 2023 PRA Submission

No substantive changes have been made to Chapter
4 of the Protocols & Guidelines Manual since the
last submission in 2023. Chapter 4 is the section
on Sampling for the HHCAHPS Survey.
The updates made to the PER form were date
references. No other content has changed.