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OMB Control No: 0938-0981	ICR Reference No: 202311-0938-009
Status: Active	Previous ICR Reference No: 202106-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/02/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/24/2023
Terms of Clearance: Noting the inconsistencies in the number of and which languages into which the different Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys are translated. To ensure CMS is assessing patients’ and their families’ experiences in a culturally competent and linguistically appropriate manner, prior to the re-submission of this IC, the agency will assess the translation needs across the population and consistently translate all CAHPS surveys as appropriate. We request that CMS considers additional languages for translation for the mail version including both Traditional and Simplified Chinese (rather than one Chinese), Korean, and French as well as additional languages for the telephone and IVR modes. This request is supported by the principles and priorities set forth in the memorandum titled “Improving Access to Public Benefits Programs Through the Paperwork Reduction Act” (April 13, 2022), the Executive Order 13985 on “Advancing Racial Equity and Support for Underserved Communities Through the Federal Government” (January 20, 2021), Executive Order 13166, "Improving Access to Services for Persons with Limited English Proficiency" (August, 11, 2000) and the culturally and linguistically appropriate services (CLAS) standards.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2025	36 Months From Approved	09/30/2024
Responses	2,304,450	0	2,843,617
Time Burden (Hours)	282,366	0	347,647
Cost Burden (Dollars)	0	0	0

Abstract: The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care. While many hospitals collect information on patient satisfaction, there is no national standard for collecting or publicly reporting this information that would enable valid comparisons to be made across all hospitals.

Authorizing Statute(s): PL: Pub.L. 115 - 271 6104 Name of Law: SUPPORT Act
   PL: Pub.L. 109 - 171 1886(b)(3)(B) Name of Law: Deficit Reduction Act of 2005
   PL: Pub.L. 111 - 148 3001 Name of Law: Affordable Care Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 57461	08/23/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 82379	11/24/2023
Did the Agency receive public comments on this ICR? Yes

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	2,304,450	2,843,617	-539,167
Annual Time Burden (Hours)	282,366	347,647	-65,281
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The amount of time needed to complete the HCAHPS Survey has not changed, but the number of respondents has decreased and the number of hospitals has decreased to about 4,450 since the previous PRA approval in 2021, resulting in a lower annual hour burden.

Annual Cost to Federal Government: $3,475,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Stephan McKenzie 410 786-1943 stephan.mckenzie@cms.hhs.gov

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