Information Collection

Questions for Users of CAHPS/SOPS Technical Assistance

IC 283245 under ICR 202610-0935-001 · OMB 0935-0179.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Questions for Users of CAHPS Technical Assistance Questions for Users of CAHPS/SOPS Technical Assistance	Form and Instruction
SOPS TA User Feedback Questions for Users of CAHPS/SOPS Technical Assistance	Form and Instruction
Questions for Users of CAHPS Technical Assistance CAHPS TA User Feedback 06-2026_6-12.docx	Form and Instruction
SOPS TA User Feedback SOPS TA User Feedback 06-22026_6-12.docx	Form and Instruction
CAHPS SOPS TA Feedback Gen IC form final 6-15-26.docx Generic Short Form CAHPS/SOPS User Feedback	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

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				Yes	Yes	Fillable Fileable
Form and Instruction	N/A				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 240

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Short Form CAHPS/SOPS User Feedback		10/23/2026

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

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