Census of Surveys

On this page is a brief summary of every survey conducted that is related to Health Care Services using a statistical method.

Joint Outpatient Experience Survey (JOES)
Agency: DOD Subject: Health
Subagency: DODOASHA Detailed Subject: Health Care Services
Expiration Date: 12/31/2027
Annual Federal Government Cost: $3,164,894 Annual Response: 310,000
Annual Cost Burden: $834,250 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 26,533 Survey Respondent: Individuals or Households
Authorizing Statute: EO: EO 13985 Name/Subject of EO: Executive Order on Transforming Federal Customer Experience and Service Delivery to Rebuild Trust AND EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service AND PL: Pub.L. 114 - 92 713 Expansion of Evaluation Name of Law: NDAA FY2016 AND PL: Pub.L. 102 - 484 724 Annual Healthcare Survey Name of Law: NDAA FY2013
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202501-0720-001

Restructure or Realignment of Military Medical Treatment Facilities
Agency: DOD Subject: Health
Subagency: DODOASHA Detailed Subject: Health Care Services
Expiration Date: 03/31/2027
Annual Federal Government Cost: $9,890 Annual Response: 106,200
Annual Cost Burden: $526,752 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 17,700 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 114 - 328 703 Name of Law: National Defense Authorization Act for Fiscal Year (FY) 2017
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202310-0720-001

TRICARE Inpatient Satisfaction Survey (TRISS)
Agency: DOD Subject: Health
Subagency: DODOASHA Detailed Subject: Health Care Services
Expiration Date: 05/31/2027
Annual Federal Government Cost: $359,271 Annual Response: 63,600
Annual Cost Burden: $232,723 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 7,820 Survey Respondent: Individuals or Households
Authorizing Statute: EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service AND PL: Pub.L. 102 - 484 724 Name of Law: National Defense Authorization Act for FY 1993
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0720-004

TRICARE Select Survey of Beneficiaries (TSS-B)
Agency: DOD Subject: Health
Subagency: DODOASHA Detailed Subject: Health Care Services
Expiration Date: 05/31/2027
Annual Federal Government Cost: $777,391 Annual Response: 5,000
Annual Cost Burden: $33,100 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 1,250 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 102 - 484 724 Name of Law: National Defense Authorization Act for Fiscal Year 1993
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0720-003

The Health Care Survey of DoD Beneficiaries (HCSDB)
Agency: DOD Subject: Health
Subagency: DODOASHA Detailed Subject: Health Care Services
Expiration Date: 05/31/2027
Annual Federal Government Cost: $2,358,155 Annual Response: 24,200
Annual Cost Burden: $160,204 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 6,050 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 102 - 484 SEC 724. ANNUAL BENEFICIARY S Name of Law: National Defense Authorization Act for Fiscal Year 1993
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0720-001

Travis Air Force Base Exceptional Family Member Program (EFMP) Pilot Program Evaluation Survey
Agency: DOD Subject: Health
Subagency: DODOASHA Detailed Subject: Health Care Services
Expiration Date: 04/30/2027
Annual Federal Government Cost: $509 Annual Response: 240
Annual Cost Burden: $1,826 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 80 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 10 USC 1781c Name of Law: Office of Special Needs
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0720-002

Women’s Reproductive Health Care Provider Survey (WRHCPS)
Agency: DOD Subject: Health
Subagency: DODOASHA Detailed Subject: Health Care Services
Expiration Date: 08/31/2027
Annual Federal Government Cost: $1,516,396 Annual Response: 2,129
Annual Cost Burden: $37,676 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 710 Survey Respondent: Federal Government
Authorizing Statute: PL: Pub.L. 116 - 48 HEALTH CARE PROVISIONS Name of Law: NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2020
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202403-0720-001

Generic Clearance for Improving Customer Experience; Central Survey Tool for OMB Circular A-11 Section 280 Implementation
Agency: GSA Subject: Disaster Management, Transportation, General Government, Environmental Management, Community and Social Services, Income Security, Health
Subagency: Detailed Subject: Disaster Repair and Restore, Air Transportation, Taxation Management, Environmental Monitoring and Forecasting, Social Services, General Retirement and Disability, Health Care Services, Community and Regional Development, Legislative Functions
Expiration Date: 09/30/2025
Annual Federal Government Cost: $76,987 Annual Response: 40,000,001
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 2,000,000 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202208-3090-003

Collection of Information for AHRQ's Hospital Survey on Patient Safety Culture Comparative Database
Agency: HHS Subject: Health
Subagency: AHRQ Detailed Subject: Health Care Services, Consumer Health and Safety
Expiration Date: 10/31/2025
Annual Federal Government Cost: $200,000 Annual Response: 2,040
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 459 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202208-0935-002

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Agency: HHS Subject: Health
Subagency: AHRQ Detailed Subject: Health Care Services, Consumer Health and Safety
Expiration Date: 11/30/2026
Annual Federal Government Cost: $848,556 Annual Response: 10,900
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 3,383 Survey Respondent: Private Sector, Individuals or Households, State Local and Tribal Governments, Federal Government
Authorizing Statute: US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202501-0935-001

Medical Expenditure Panel Survey - Household and Medical Provider Components
Agency: HHS Subject: Health
Subagency: AHRQ Detailed Subject: Consumer Health and Safety, Immunization Management, Health Care Services
Expiration Date: 09/30/2026
Annual Federal Government Cost: $64,851,222 Annual Response: 384,693
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 67,489 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: US Code: 42 USC 299 Name of Law: Agency for Healthcare Research and Quality Act of 1999
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202406-0935-002

Nursing Home Survey on Patient Safety Culture Comparative Database
Agency: HHS Subject: Health
Subagency: AHRQ Detailed Subject: Health Care Services
Expiration Date: 03/31/2028
Annual Federal Government Cost: $200,000 Annual Response: 400
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 77 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 299 Name of Law: Healthcare Research and Quality Act of 1999
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202410-0935-001

Questionnaire and Data Collection Testing Evaluation and Research for the Agency for Healthcare Research and Quality
Agency: HHS Subject: Health
Subagency: AHRQ Detailed Subject: Public Health Monitoring, Health Care Services, Consumer Health and Safety
Expiration Date: 03/31/2027
Annual Federal Government Cost: $708,613 Annual Response: 13,800
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 8,900 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0935-006

Supporting and Evaluation the Dissemination and Implementation of PCOR to Improve Non-Surgical Treatment of Urinary Incontinence Among Women in Primary Care
Agency: HHS Subject: Health
Subagency: AHRQ Detailed Subject: Health Care Services
Expiration Date: 03/31/2026
Annual Federal Government Cost: $129,967 Annual Response: 90
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 90 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 299b-2 Name of Law: Health Care Quality Act of 1999
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202301-0935-002

The AHRQ Safety Program for Telemedicine
Agency: HHS Subject: Health
Subagency: AHRQ Detailed Subject: Consumer Health and Safety, Health Care Services
Expiration Date: 09/30/2027
Annual Federal Government Cost: $584,877 Annual Response: 5,508
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 4,644 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 299b-2 Name of Law: Health Care Quality Act of 1999
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202407-0935-001

Assessment & Monitoring of Breastfeeding-Related Maternity Care Practices in Intrapartum Care Facilities in the United States and Territories
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Health Care Services, Public Health Monitoring
Expiration Date: 03/31/2025
Annual Federal Government Cost: $444,163 Annual Response: 5,241
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 805 Survey Respondent: Private Sector, Individuals or Households
Authorizing Statute: US Code: 42 USC 241 Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202108-0920-021

Assisted Reproductive Technology (ART) Program Reporting System
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 03/31/2028
Annual Federal Government Cost: $1,850,669 Annual Response: 416,242
Annual Cost Burden: $43,512 Respondent Obligation: Mandatory, Voluntary
Annual Time Burden (hrs): 297,352 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 301 Name of Law: Public Health Service Act AND PL: Pub.L. 102 - 493 2 (a) Name of Law: Fertility Clinic Success Rate and Certification Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0920-017

Formative Research to Develop HIV Social Marketing Campaigns for Healthcare Providers
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Health Care Services
Expiration Date: 05/31/2025
Annual Federal Government Cost: $484,033 Annual Response: 2,277
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 902 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 301 Name of Law: PHSA
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202106-0920-013

Million Hearts® Hospital/Health System Recognition Program
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Health Care Services
Expiration Date: 10/31/2025
Annual Federal Government Cost: $144,836 Annual Response: 80
Annual Cost Burden: $7,964 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 148 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 111 - 358 1 Name of Law: America Competes Reauthorization Act AND US Code: 42 USC 241 Name of Law: PHSA
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202206-0920-009

National Learning Community for HIV CBO Leadership Evaluation
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Health Care Services
Expiration Date: 09/30/2025
Annual Federal Government Cost: $4,501 Annual Response: 675
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 89 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC Section 301-792[295k] (a) Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202110-0920-015

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Health Care Services
Expiration Date: 12/31/2027
Annual Federal Government Cost: $339,964 Annual Response: 767
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 501 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 247 Name of Law: Publilc Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202408-0920-015

[NCEZID] The National Healthcare Safety Network (NHSN)
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Health Care Services, Public Health Monitoring, Illness Prevention
Expiration Date: 05/31/2025
Annual Federal Government Cost: $49,994,530 Annual Response: 5,896,361
Annual Cost Burden: $0 Respondent Obligation: Voluntary, Mandatory
Annual Time Burden (hrs): 4,508,255 Survey Respondent: Private Sector, State Local and Tribal Governments, Individuals or Households
Authorizing Statute: US Code: 42 USC 242b Name of Law: Public Health Service Act AND US Code: 42 USC 242k Name of Law: Public Health Service Act AND US Code: 42 USC 242m(d) Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0920-019

[NCHHSTP] Assessments to Inform Program Refinement for HIV other STD and Pregnancy Prevention among Middle and High-School Aged Youth
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 09/30/2025
Annual Federal Government Cost: $46,238 Annual Response: 103,500
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 172,752 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC Sec 301.241(a) Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202305-0920-001

[NCHHSTP] National Network of Sexually Transmitted Disease Clinical Prevention Training Centers (NNPTC)
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Health Care Services
Expiration Date: 03/31/2026
Annual Federal Government Cost: $102,073 Annual Response: 11,680
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 453 Survey Respondent: State Local and Tribal Governments
Authorizing Statute: PL: Pub.L. 42 - 792 776 Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202211-0920-008

[NCHHSTP] Surveillance of HIV-related service barriers among Individuals with Early or Late HIV Diagnoses (SHIELD)
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 05/31/2027
Annual Federal Government Cost: $2,370,027 Annual Response: 7,700
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 3,074 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC 241 Name of Law: U.S. PHSA
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202403-0920-003

[NCHS]Customer Surveys Generic Clearance for the National Center for Health Statistics
Agency: HHS Subject: Health
Subagency: CDC Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 02/28/2026
Annual Federal Government Cost: $100,000 Annual Response: 7,500
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 2,250 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC 242 Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202301-0920-017

[OADPS] The Performance Measures Project
Agency: HHS Subject: Health, Workforce Management
Subagency: CDC Detailed Subject: Illness Prevention, Public Health Monitoring, Training and Employment, Health Care Services
Expiration Date: 06/30/2026
Annual Federal Government Cost: $117,154 Annual Response: 11,826
Annual Cost Burden: $0 Respondent Obligation: Voluntary, Required to Obtain or Retain Benefits, Mandatory
Annual Time Burden (hrs): 291,147 Survey Respondent: Individuals or Households, State Local and Tribal Governments, Private Sector
Authorizing Statute: US Code: 42 USC 45 CFR 75.342 Name of Law: Monitoring and reporting program performance
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0920-010

CAHPS Home Health Care Survey (CMS-10275)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 07/31/2026
Annual Federal Government Cost: $1,530,193 Annual Response: 1,149,975
Annual Cost Burden: $0 Respondent Obligation: Voluntary, Required to Obtain or Retain Benefits
Annual Time Burden (hrs): 420,576 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: US Code: 42 USC 301 Name of Law: US Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202303-0938-010

Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for the Merit-Based Incentive Payment System (MIPS) (CMS-10450)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 07/31/2026
Annual Federal Government Cost: $1,478,500 Annual Response: 25,776
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 5,867 Survey Respondent: Private Sector, Individuals or Households
Authorizing Statute: US Code: 42 USC 1395w-4 Name of Law: MACRA of 2015 AND PL: Pub.L. 111 - 148 10331 Name of Law: Affordable Care Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0938-011

Evaluation of the CMS Network of Quality Improvement and Innovation Contractors Program (NQIIC) (CMS-10769)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 07/31/2027
Annual Federal Government Cost: $1,077,784 Annual Response: 1,900
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 559 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 112 - 40 261 Name of Law: Social Security Act AND US Code: 42 USC 1320c-1 Name of Law: Social Security Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0938-008

Fee-for-Service Improper Payment Rate Measurement in Medicaid and the Children’s Health Insurance Program (CMS-10166)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $46,000,000 Annual Response: 36
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 59,400 Survey Respondent: State Local and Tribal Governments
Authorizing Statute: US Code: 42 USC 1302a Name of Law: Rules and Regulations AND US Code: 42 USC 1396(a) Name of Law: State Plans for Medical Assistance AND US Code: 42 USC 1397gg Name of Law: Records Reports Audits and Evaluation AND US Code: 42 USC 1302(a)(27) Name of Law: Rules and Regulations
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202408-0938-025

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (CMS-10415)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 03/31/2026
Annual Federal Government Cost: $250,000 Annual Response: 1,000,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 60,000 Survey Respondent: Individuals or Households, Private Sector, Federal Government, State Local and Tribal Governments
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202211-0938-011

Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 08/31/2025
Annual Federal Government Cost: $500,000 Annual Response: 8,731
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 10,001 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202202-0938-003

Generic Social Marketing & Consumer Testing Research (CMS-10437)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 10/31/2027
Annual Federal Government Cost: $2,500,000 Annual Response: 61,992
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 26,588 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 111 - 148 1103 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 2602 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 3001 3209 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 Sec 3022 2706 2703 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 10303 10327 10331 2701 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 4004 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 2001 2101 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 1003 Name of Law: Affordable Care Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202407-0938-019

HEDIS Data Collection for Medicare Advantage (CMS-10219)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 07/31/2027
Annual Federal Government Cost: $720,477 Annual Response: 808
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 258,560 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC Sec. AND 1395w-22(e)(3)(A) Name of Law: Benefits and beneficiary protections AND Statute at Large: 18 Stat. 1852 AND PL: Pub.L. 108 - 173 722 (a)(3)(A)(i) Name of Law: MMA
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202402-0938-002

Health Insurance Marketplace Consumer Experience Surveys
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 09/30/2026
Annual Federal Government Cost: $6,700,000 Annual Response: 97,505
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 48,872 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 111 - 148 1313 Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 1321(a) Name of Law: Affordable Care Act AND PL: Pub.L. 111 - 148 1311(c)(4) Name of Law: Affordable Care Act (ACA)
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202407-0938-021

Home and Community Based Services (HCBS) Incident Management Survey (CMS-10692)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 03/31/2026
Annual Federal Government Cost: $194,541 Annual Response: 102
Annual Cost Burden: $0 Respondent Obligation: Required to Obtain or Retain Benefits
Annual Time Burden (hrs): 153 Survey Respondent: State Local and Tribal Governments
Authorizing Statute: US Code: 42 USC 1915(c)(2)(A) Name of Law: Social Security Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202206-0938-024

Hospital Outpatient Quality Reporting (OQR) Program (CMS-10250)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: nan
Annual Federal Government Cost: $10,228,911 Annual Response: 40,960,000
Annual Cost Burden: $0 Respondent Obligation: Required to Obtain or Retain Benefits
Annual Time Burden (hrs): 15,184,997 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 109 - 432 109(a) Name of Law: Quality reporting for hospital outpatient services and ambulatory surgical center services AND PL: Pub.L. 111 - 148 3014 Name of Law: Affordable Care Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0938-020

Implementation of the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) Plan Disenrollment Reasons Survey (CMS-10316)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $2,000,000 Annual Response: 36,050
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 6,730 Survey Respondent: Individuals or Households
Authorizing Statute: Statute at Large: 1 Stat. 1860
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202407-0938-010

Medicare Advantage Medicare Part D and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $7,000,000 Annual Response: 794,500
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 192,265 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 108 - 173 1860D Name of Law: Information to Facilitate Enrollment
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202406-0938-010

Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 08/31/2027
Annual Federal Government Cost: $24,400,000 Annual Response: 35,015
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 35,344 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 108 - 173 723 Name of Law: Medicare Prescription Drug Improvement and Modernization Act AND PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202407-0938-007

Medicare Health Outcomes Survey (HOS) (CMS-10203)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: nan
Annual Federal Government Cost: $3,000,000 Annual Response: 663,150
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 212,208 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 108 - 173 722(a)(3)(A)(i) Name of Law: Medicare Prescription Drug Improvement and Modernization Act AND US Code: 42 USC 442 Subpart D
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202501-0938-006

Medicare Part C and Medicare Part D Enrollment Form Interviews (CMS-10816)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 03/31/2026
Annual Federal Government Cost: $122,904 Annual Response: 480
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 95 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 105 - 33 Sec AND 4001 Name of Law: Balanced Budget Act of 199 AND PL: Pub.L. 108 - 173 Sec. 101 Name of Law: Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA)
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202312-0938-005

Medicare Part C and Part D Data Validation (42 CFR 422.516(g) and 423.514(g)) (CMS-10305)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 12/31/2025
Annual Federal Government Cost: $300,000 Annual Response: 809
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 10,500 Survey Respondent: Private Sector
Authorizing Statute: Statute at Large: 18 Stat. 1860 AND Statute at Large: 18 Stat. 1857
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202402-0938-012

National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $3,977,921 Annual Response: 2,327,551
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 314,206 Survey Respondent: Private Sector, Individuals or Households
Authorizing Statute: PL: Pub.L. 109 - 171 1886(b)(3)(B) Name of Law: Deficit Reduction Act of 2005 AND PL: Pub.L. 111 - 148 3001 Name of Law: Affordable Care Act AND PL: Pub.L. 115 - 271 6104 Name of Law: SUPPORT Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202408-0938-037

National Implementation of In-Center Hemodialysis CAHPS Survey (CMS-10105)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 09/30/2025
Annual Federal Government Cost: $1,450,000 Annual Response: 207,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 55,890 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC 1881(h) Name of Law: Social Security Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202207-0938-007

National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey (CMS-10500)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2026
Annual Federal Government Cost: $1,720,000 Annual Response: 2,534,643
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 614,976 Survey Respondent: Private Sector, Individuals or Households
Authorizing Statute: PL: Pub.L. 111 - 148 931 Name of Law: Quality Measure Development Patient Protection and Affordable Care Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202402-0938-009

Patient-Reported Indicator Survey (PaRIS) (CMS-10792)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2025
Annual Federal Government Cost: $1,432,251 Annual Response: 12,492
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 3,814 Survey Respondent: Individuals or Households
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202202-0938-004

Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (CMS-10184)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $46,000,000 Annual Response: 108
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 36,000 Survey Respondent: State Local and Tribal Governments
Authorizing Statute: PL: Pub.L. 107 - 300 2 Name of Law: The Improper Payments Information Act of 2002
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202408-0938-027

Payment Error Rate Measurement in Medicaid & Children's Health Insurance Program (CHIP) (CMS-10178)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $46,000,000 Annual Response: 36
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 29,700 Survey Respondent: State Local and Tribal Governments
Authorizing Statute: PL: Pub.L. 107 - 300 1902 Name of Law: Improper Payment Information Act (IPIA) of 2002
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202408-0938-026

Quality Payment Program (QPP)/Merit-Based Incentive Payment System (MIPS) (CMS-10621)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: nan
Annual Federal Government Cost: $384 Annual Response: 135,984
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 649,371 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 1395w-4 Name of Law: Medicare Access and CHIP Reauthorization Act of 2014
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0938-008

Quality Payment Program/Merit-Based Incentive Payment System (MIPS) Surveys and Feedback Collections (CMS-10695)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $3,850,758 Annual Response: 630,300
Annual Cost Burden: $5,328,024 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 57,950 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 1395w-4(s) Name of Law: Merit Based Incentive Program AND PL: Pub.L. 114 - 10 101 Name of Law: MACRA AND PL: Pub.L. 114 - 255 4002(b)(1)(b) Name of Law: 21st Century Cures Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202408-0938-002

Survey of Retail Prices (CMS-10241)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 12/31/2026
Annual Federal Government Cost: $3,518,671 Annual Response: 72,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 36,000 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 109 - 171 6001 Name of Law: Deficit Reduction Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202310-0938-004

Testing Experience and Functional Tools
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 06/30/2026
Annual Federal Government Cost: $89,250 Annual Response: 1,570
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 785 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 111 - 148 2701 Name of Law: Patient Protection and Affordable Care Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202304-0938-030

[Medicaid] External Quality Review (EQR) of Medicaid and Children’s Health Insurance Program (CHIP) Managed Care EQR Protocols and Supporting Regulations (CMS-R-305)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 10/31/2027
Annual Federal Government Cost: $24,564,276 Annual Response: 9,530
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 482,802 Survey Respondent: Private Sector, State Local and Tribal Governments
Authorizing Statute: Statute at Large: 19 Stat. 1932 AND PL: Pub.L. 105 - 33 4705 Name of Law: BBA of 1997 AND PL: Pub.L. 111 - 3 403 Name of Law: CHIPRA of 2009 AND US Code: 42 USC 1396 Name of Law: External Independent Review of Managed Care Activities
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202404-0938-013

[Medicaid] Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284)
Agency: HHS Subject: Health
Subagency: CMS Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $15,048,494 Annual Response: 648
Annual Cost Burden: $0 Respondent Obligation: Mandatory
Annual Time Burden (hrs): 7,290 Survey Respondent: State Local and Tribal Governments
Authorizing Statute: PL: Pub.L. 105 - 32 4753 Name of Law: BBA AND PL: Pub.L. 108 - 173 103 Name of Law: MMA AND US Code: 42 USC 1935 Name of Law: Medicare Prescription Drugs AND PL: Pub.L. 114 - 148 6504 Name of Law: ACA AND US Code: 42 USC 1396b(r) Name of Law: MMIS AND US Code: 42 USC 1301 Name of Law: HIPAA Law
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202409-0938-023

Obtaining Information to Understand and Challenges and Opportunities Encountered by Compounding Outsourcing Facilities
Agency: HHS Subject: Health
Subagency: FDA Detailed Subject: Health Care Services
Expiration Date: 02/28/2025
Annual Federal Government Cost: $14,220 Annual Response: 600
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 600 Survey Respondent: Private Sector
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202302-0910-007

ASPA COVID-19 Public Education Campaign Market Research
Agency: HHS Subject: Health
Subagency: HHSDM Detailed Subject: Health Care Services, Immunization Management
Expiration Date: 03/31/2026
Annual Federal Government Cost: $12,454,740 Annual Response: 1,358,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 97,330 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC 42 U.S.C. 247d\\u2009[1]
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202306-0990-002

ASPE Generic Clearance for the Collection of Qualitative Research and Assessment
Agency: HHS Subject: Health
Subagency: HHSDM Detailed Subject: Health Care Services, Consumer Health and Safety, Public Health Monitoring
Expiration Date: 02/28/2027
Annual Federal Government Cost: $600,000 Annual Response: 5,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary, Required to Obtain or Retain Benefits
Annual Time Burden (hrs): 5,000 Survey Respondent: State Local and Tribal Governments, Individuals or Households, Private Sector
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202403-0990-009

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Agency: HHS Subject: Education, Health
Subagency: HHSDM Detailed Subject: Elementary Secondary and Vocational Education, Consumer Health and Safety, Public Health Monitoring, Health Care Services, Illness Prevention
Expiration Date: 10/31/2026
Annual Federal Government Cost: $300,000 Annual Response: 300,000
Annual Cost Burden: $0 Respondent Obligation: Required to Obtain or Retain Benefits, Voluntary
Annual Time Burden (hrs): 50,000 Survey Respondent: Federal Government, State Local and Tribal Governments, Individuals or Households, Private Sector
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202409-0990-001

Teen Pregnancy Prevention (TPP) Performance Measures for FY2020
Agency: HHS Subject: Health
Subagency: HHSDM Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 05/31/2027
Annual Federal Government Cost: $500,000 Annual Response: 1,240
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 1,155 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 111 - 352 4 Name of Law: 2010 GPRA Modernization Act (P.L. 111–352) AND PL: Pub.L. 103 - 62 4 Name of Law: 1993 Government Performance and Results Act AND PL: Pub.L. 116 - 84 4 Name of Law: Division A Title II of the Further Consolidated Appropriations Act 2020
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202309-0990-006

Assessing Strategies To Promote Children’s Engagement and Active Participation in Virtual Visits
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 06/30/2027
Annual Federal Government Cost: $243,895 Annual Response: 976
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 326 Survey Respondent: Individuals or Households, State Local and Tribal Governments
Authorizing Statute: PL: Pub.L. 117 - 328 6101 Name of Law: Consolidated Appropriations Act 2023 AND US Code: 42 USC 711(c) Name of Law: Maternal infant and early childhood home visiting programs AND US Code: 42 USC 711(h)(3)(A) Name of Law: Maternal infant and early childhood home visiting programs
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0906-001

Assessing the Use of Coaching to Promote Positive Caregiver-Child Interactions in Early Childhood Home Visiting Through Rapid Cycle Learning
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 07/31/2027
Annual Federal Government Cost: $243,895 Annual Response: 976
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 326 Survey Respondent: Individuals or Households, State Local and Tribal Governments
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0906-002

Assessing the Use of Informal Contacts to Promote Caregivers’ Engagement and Satisfaction with Early Childhood Home Visiting Through Rapid Cycle Learning
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 07/31/2027
Annual Federal Government Cost: $243,895 Annual Response: 976
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 416 Survey Respondent: Individuals or Households, State Local and Tribal Governments
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202412-0906-003

Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access Program and the Screening and Treatment for Maternal Depression and Related Behavioral Disorders Program
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services, Public Health Monitoring
Expiration Date: 12/31/2025
Annual Federal Government Cost: $804,666 Annual Response: 18,246
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 10,217 Survey Respondent: Private Sector, Individuals or Households, State Local and Tribal Governments
Authorizing Statute: PL: Pub.L. 117 - 2 2712 Name of Law: American Rescue Plan Act of 2021 AND US Code: 42 USC 247b-13a Name of Law: Public Health Service Act AND US Code: 42 USC 254c-19 Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202302-0906-003

HRSA Grantee Satisfaction Survey
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 03/31/2027
Annual Federal Government Cost: $257,433 Annual Response: 2,578
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 854 Survey Respondent: Private Sector, State Local and Tribal Governments
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202405-0906-002

Health Center Workforce Survey Evaluation and Technical Assistance
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 11/30/2025
Annual Federal Government Cost: $2,080,495 Annual Response: 451,400
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 225,467 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 254b Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202208-0906-003

Home Visiting Assessment of Implementation Quality Study
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services, Public Health Monitoring
Expiration Date: 06/30/2027
Annual Federal Government Cost: $453,345 Annual Response: 1,208
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 500 Survey Respondent: State Local and Tribal Governments, Individuals or Households
Authorizing Statute: US Code: 42 USC 711(h)(3)(A) Name of Law: Social Security Act MATERNAL INFANT AND EARLY CHILDHOOD HOME VISITING PROGRAMS AND US Code: 42 USC 711(c) AND PL: Pub.L. 117 - 328 6101 Name of Law: Consolidated Appropriations Act 2023
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202404-0906-006

Home Visiting Assessment of Implementation Quality Study
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 08/31/2027
Annual Federal Government Cost: $337,432 Annual Response: 416
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 311 Survey Respondent: Individuals or Households, Private Sector, State Local and Tribal Governments
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202404-0906-005

National Survey of Organ Donation Attitudes and Practices (NSODAP)
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 08/31/2027
Annual Federal Government Cost: $684,005 Annual Response: 10,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 2,900 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC 274f–1 Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202408-0906-001

Rapid Uptake of Disseminated Interventions (RUDI) Evaluation
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 01/31/2027
Annual Federal Government Cost: $114,779 Annual Response: 1,343
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 591 Survey Respondent: Private Sector, State Local and Tribal Governments
Authorizing Statute: PL: Pub.L. 111 - 87 0 Name of Law: The Ryan White HIV/AIDS Treatment Extension Act of 2009
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202310-0906-001

Ryan White HIV/AIDS Program CAREWare Customer Satisfaction and Usage Survey
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 03/31/2027
Annual Federal Government Cost: $62,694 Annual Response: 1,160
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 1,021 Survey Respondent: Private Sector
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards AND US Code: 31 USC 1116 Name of Law: Government Performance and Results Act of 1993
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202401-0906-004

Umbrella Generic for Information Collections Related to Gatherings
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Health Care Services
Expiration Date: 11/30/2027
Annual Federal Government Cost: $19,402,575 Annual Response: 610,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 1,060,000 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202410-0906-002

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
Agency: HHS Subject: Health
Subagency: HRSA Detailed Subject: Public Health Monitoring, Health Care Services, Consumer Health and Safety
Expiration Date: 02/28/2027
Annual Federal Government Cost: $249,390 Annual Response: 136,977
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 15,045 Survey Respondent: State Local and Tribal Governments, Individuals or Households, Private Sector
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202406-0906-005

Autism CARES Act Initiative Evaluation
Agency: HHS Subject: Health
Subagency: HSA Detailed Subject: Health Care Services
Expiration Date: 08/31/2026
Annual Federal Government Cost: $456,084 Annual Response: 116
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 155 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 113 - 157 0 Name of Law: Autism Collaboration Accountability Research Education and Support Act of 2014
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202306-0915-005

Bureau of Health Workforce Nurse Corps Supplemental Funding Evaluation
Agency: HHS Subject: Health
Subagency: HSA Detailed Subject: Health Care Services
Expiration Date: 09/30/2026
Annual Federal Government Cost: $693,904 Annual Response: 7,359
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 3,110 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC 297n Name of Law: Public Health Service Act AND US Code: 42 USC 297n(d)-(i)) Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202309-0915-001

Enhancing HIV Care of Women Infants Children and Youth Building Capacity through Communities of Practice
Agency: HHS Subject: Health
Subagency: HSA Detailed Subject: Health Care Services
Expiration Date: 07/31/2026
Annual Federal Government Cost: $132,035 Annual Response: 2,340
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 306 Survey Respondent: Private Sector
Authorizing Statute: PL: Pub.L. 111 - 87 XXVI Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202305-0915-004

HRSA Uniform Data System (UDS)
Agency: HHS Subject: Health
Subagency: HSA Detailed Subject: Health Care Services
Expiration Date: 04/30/2026
Annual Federal Government Cost: $4,270,250 Annual Response: 1,978
Annual Cost Burden: $0 Respondent Obligation: Required to Obtain or Retain Benefits
Annual Time Burden (hrs): 375,324 Survey Respondent: Private Sector
Authorizing Statute: US Code: 42 USC 254B Name of Law: PHSA
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202403-0915-003

Health Center Patient Survey (HCPS)
Agency: HHS Subject: Health
Subagency: HSA Detailed Subject: Health Care Services
Expiration Date: 04/30/2026
Annual Federal Government Cost: $7,760,258 Annual Response: 23,058
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 13,876 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 42 USC 330-331 254bd Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202303-0915-004

Questionnaire and Data Collection Testing Evaluation and Research for the Health Resources and Services Administration (HRSA)
Agency: HHS Subject: Health
Subagency: HSA Detailed Subject: Health Care Services, Public Health Monitoring
Expiration Date: 11/30/2026
Annual Federal Government Cost: $2,583,874 Annual Response: 5,575
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 3,482 Survey Respondent: Individuals or Households, Private Sector, Federal Government
Authorizing Statute: US Code: 42 USC 299c-3(c) Sec. 934(c) Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202306-0915-006

CTEP Branch Support Contracts Forms and Surveys (NCI)
Agency: HHS Subject: Health
Subagency: NIH Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 05/31/2027
Annual Federal Government Cost: $1,662,249 Annual Response: 253,570
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 162,836 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: US Code: 42 USC 285a Name of Law: Public Health Service Act
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202411-0925-001

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCI)
Agency: HHS Subject: Health
Subagency: NIH Detailed Subject: Health Care Services
Expiration Date: 03/31/2026
Annual Federal Government Cost: $24,213 Annual Response: 100,800
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 28,011 Survey Respondent: Individuals or Households, Federal Government, Private Sector
Authorizing Statute: EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202301-0925-001

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)
Agency: HHS Subject: Health
Subagency: NIH Detailed Subject: Health Care Services
Expiration Date: 07/31/2025
Annual Federal Government Cost: $335,174 Annual Response: 14,115
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 7,533 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202204-0925-004

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
Agency: HHS Subject: Health
Subagency: NIH Detailed Subject: Health Care Services
Expiration Date: 07/31/2027
Annual Federal Government Cost: $18,121 Annual Response: 1,434,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary, Mandatory
Annual Time Burden (hrs): 309,249 Survey Respondent: Individuals or Households, Private Sector
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202406-0925-001

ACCESS EXCHANGE AND USE OF SOCIAL DETERMINANTS OF HEALTH DATA IN CLINICAL NOTES
Agency: HHS Subject: Health
Subagency: ONC Detailed Subject: Health Care Services
Expiration Date: 08/31/2025
Annual Federal Government Cost: $332,123 Annual Response: 1,900
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 426 Survey Respondent: Private Sector, Individuals or Households
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202103-0955-002

Toolkit Protocol for the Crisis Counseling Assistance and Training Program (CCP)
Agency: HHS Subject: Health
Subagency: SAMHSA Detailed Subject: Public Health Monitoring, Health Care Services
Expiration Date: 08/31/2025
Annual Federal Government Cost: $71,532 Annual Response: 404,750
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 38,969 Survey Respondent: State Local and Tribal Governments
Authorizing Statute: US Code: 42 USC 501 Name of Law: SAMHSA
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202206-0930-002

Barriers to Health Care for Women Veterans Survey
Agency: VA Subject: Health
Subagency: Detailed Subject: Health Care Services
Expiration Date: 01/31/2026
Annual Federal Government Cost: $1,494,794 Annual Response: 7,200
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 5,400 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 116 - 315 5402 Name of Law: Veterans Health Care and Benefits Improvement Act of 2020
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202206-2900-019

Clearance for A-11 Section 280 Improving Customer Experience Information Collection
Agency: VA Subject: Health, General Government
Subagency: Detailed Subject: Health Care Services, Central Records & Statistical Mgt, Executive Functions
Expiration Date: 02/28/2026
Annual Federal Government Cost: $2,808,738 Annual Response: 4,012,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 344,083 Survey Respondent: Individuals or Households
Authorizing Statute: EO: EO 11 Name/Subject of EO: SECTION 280 – MANAGING CUSTOMER EXPERIENCE AND IMPROVING SERVICE DELIVERY
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202210-2900-003

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (VBA VHA NCA)
Agency: VA Subject: General Government, General Science and Innovation, Health, Community and Social Services
Subagency: Detailed Subject: Legislative Functions, Central Records & Statistical Mgt, Scientific and Technological Research and Innovation, Health Care Services, Central Personnel, Social Services
Expiration Date: 11/30/2026
Annual Federal Government Cost: $465,000 Annual Response: 450,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary, Required to Obtain or Retain Benefits
Annual Time Burden (hrs): 256,000 Survey Respondent: Private Sector, Individuals or Households, State Local and Tribal Governments
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standard
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202307-2900-013

Survey of Healthcare Experiences of Patients -- Dental Care Patient Satisfaction Survey (DPSS)
Agency: VA Subject: Health
Subagency: Detailed Subject: Health Care Services
Expiration Date: nan
Annual Federal Government Cost: $550,720 Annual Response: 50,400
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 12,600 Survey Respondent: Individuals or Households
Authorizing Statute: EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202411-2900-011

VA Suicide Prevention 2.0 Program - Community Opinion Survey
Agency: VA Subject: Health
Subagency: Detailed Subject: Health Care Services
Expiration Date: 08/31/2025
Annual Federal Government Cost: $1,006,544 Annual Response: 10,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 2,500 Survey Respondent: Individuals or Households
Authorizing Statute: US Code: 38 USC 527
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202206-2900-009

Veteran Toxic Exposure Screening Tool (PACT Act)
Agency: VA Subject: Health
Subagency: Detailed Subject: Health Care Services
Expiration Date: 03/31/2026
Annual Federal Government Cost: $41,511,300 Annual Response: 1,660,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 138,333 Survey Respondent: Individuals or Households
Authorizing Statute: PL: Pub.L. 117 - 168 603 Name of Law: Honoring Our PACT Act of 2022
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202211-2900-011

Veterans Engagement Action Center (VEAC) Surveys
Agency: VA Subject: Health
Subagency: Detailed Subject: Health Care Services
Expiration Date: 09/30/2025
Annual Federal Government Cost: $202,673 Annual Response: 16,000
Annual Cost Burden: $0 Respondent Obligation: Voluntary
Annual Time Burden (hrs): 1,200 Survey Respondent: Individuals or Households
Authorizing Statute: None
Survey Reference Link: https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202301-2900-002