Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Gen-IC #1 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospice Survey Mode Experiment New 12000 1956 0 Form and Instruction CMS-10694 GenIC 1
Gen-IC #2 : HCAHPS Mode Experiment New 7801 1398 0 Form and Instruction CMS-10694
GenIC #3 MA and PDP CAHPS Web Survey of Health and Drug Plans New 183 6 0 Form and Instruction CMS-10694
GenIC #6: In-Center Hemodialysis (ICH) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Web Mode Experiment New 6282 1131 0 Form and Instruction CMS-10694
GenIC#5 Medicare Advantage (MA) and Prescription Drug Plan (PDP) Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Web Mode Field Test New 1625 380 0 Form and Instruction CMS-10694
Form and Instruction CMS-10694
Form and Instruction CMS-10694
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 27891 4871 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title