Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MA-Only CAHPS Field Test Survey New 4000 1120 0 Form and Instruction CMS-10793 2022 Medicare Advantage Plan Survey Field Test Version
MA-PD/PDP CAHPS Field Test Survey New 1000 170 0 Form and Instruction CMS-10793 2022 Medicare Advantage Plan Survey Field Test Version
Form and Instruction CMS-10793 2022 Prescription Drug Plan Survey
Total burden requested under this ICR: 5000 1290 0  
To view an IC, click on IC Title