OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey

ICR 202206-3206-001 · OMB 3206-0274 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form OMB 3206-0274 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey Form and Instruction New Repair queued
Form 3206-XXXX Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey Form and Instruction Removed Repair queued
CAHPS Supporting Statement A 2022.docx Supporting Statement A Uploaded 2022-06-13 Repair queued
Statement B 4-29-22.docx Supporting Statement B Uploaded 2022-06-13 Repair queued
30 Day Notice 3206 0274.pdf Supplementary Document Uploaded 2022-06-13 Repair queued
60 Day Notice 3206 2074.pdf Supplementary Document Uploaded 2022-06-13 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
254218 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey Form and Instruction New
237579 Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey Form and Instruction Removed
ICR Details
3206-0274 202206-3206-001
Received in OIRA 201910-3206-004
OPM 3206-0274
Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey
Revision of a currently approved collection   No
Regular 06/17/2022
  Requested Previously Approved
36 Months From Approved 12/31/2022
73,505 73,505
18,376 18,376
197,728 197,546
OPM uses the CAHPS results as part of the FEHB Plan Performance Assessment (PPA). The PPA enables a consistent, objective evaluation of carrier performance and also provides more transparency for enrollees. This assessment uses a discrete set of quantifiable measures to examine key aspects of performance in the areas of clinical quality, customer service and resource use. Eight CAHPS measures are part of this discrete set of quantifiable measures. Taken together with more traditional assessments of contract administration, these measures help ensure that enrollees receive high quality affordable healthcare and a positive customer experience. The PPA is linked to carrier profit and premium adjustment factors. FEHB contracts include language to incorporate the PPA as a determinant of the Service Charge or Performance Adjustment.
None
None
Not associated with rulemaking
  87 FR 10834 02/25/2022
87 FR 35576 06/10/2022
No
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 73,505 73,505 0 73,505 -73,505 0
Annual Time Burden (Hours) 18,376 18,376 0 18,376 -18,376 0
Annual Cost Burden (Dollars) 197,728 197,546 0 197,728 -197,546 0
Yes
Miscellaneous Actions
No
Reinstated Burden figures with updated form.
$245,235
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Charles Conyers 202 606-0125 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/17/2022