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
MA-PD/PDP CAHPS Field Test Survey New 1000 170 0 Form and Instruction CMS-10793
Form and Instruction CMS-10793
Total burden requested under this ICR: 5000 1290 0  
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