OMB control number
Medicare Advantage and Prescription Drug Plan Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Field Test (CMS-10793)
OMB 0938-1432 · HHS/CMS.
OMB 0938-1432
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10793 MA-PD/PDP CAHPS Field Test Survey | Form and Instruction |
| Form CMS-10793 MA-Only CAHPS Field Test Survey | Form and Instruction |
 CMS-10793 Supporting Statement A.docx | Supporting Statement A |
| CMS Response to Public Comments Received for CMS-10793_1-26-22.docx | Supplementary Document |
| CMS-10793 Supporting Statement B.docx | Supporting Statement B |
 MA-PD/PDP CAHPS Field Test Survey |
Form and Instruction |
| MA-Only CAHPS Field Test Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202201-0938-021 | New collection (Request for a new OMB Control Number) | 2022-02-07 | Approved with change |