OMB control number
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Comparative Database
OMB 0935-0197 · HHS/AHRQ.
OMB 0935-0197
The Agency for Healthcare Research and Quality (AHRQ) requests that the Office of Management and Budget (OMB) approve, under the Paperwork Reduction Act of 1995, AHRQ's collection of information for the AHRQ Consumer Assessment of Healthcare Providers and Systems (CAHPS) Database for Clinicians and Groups. The CAHPS Clinician and Group Database (CAHPS CG Database) consists of data from the AHRQ CAHPS Clinician and Group Survey (CAHPS CG Survey). Health systems administrators, medical groups and medical practitioners in the U.S. are asked to voluntarily submit data from the CAHPS CG Survey to AHRQ, through its contractor.
The latest form for Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Comparative Database expires 2022-03-31 and is listed under ICR 201810-0935-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 3 Data Submission | Form and Instruction |
 Form 2 Data Agreement | Form and Instruction |
| Form 1 Registration Form | Form and Instruction |
| Attachment F Data Submission Secure Web Site and Information Collection Forms.doc | Supplementary Document |
| Attachment E Submission Emails.doc | Supplementary Document |
| Attachment D CAHPS Database Technical Expert Panel Members.doc | Supplementary Document |
| Supporting Statement Part B -- CAHPS Clinician & Group Survey Database.doc | Supporting Statement B |
| Supporting Statement Part A -- CAHPS Clinician Group Survey Database (2).docx | Supporting Statement A |
 Data Submission |
Form and Instruction |
| Data Agreement |
Form and Instruction |
| Registration Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201810-0935-001 | Revision of a currently approved collection | 2018-10-11 | Approved without change | |
| 201510-0935-001 | Reinstatement without change of a previously approved collection | 2015-11-25 | Approved without change | |
| 201202-0935-006 | New collection (Request for a new OMB Control Number) | 2012-02-17 | Approved with change |
OMB Details
Registration Form
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 1 | Attachment A: Clinician and Group Data Submission System Registration Form | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.