CMS-10275. Attachment A_Table of Updates to HHCAHPS ICR

Attachment A – Table of Updates Since the 2023 PRA Submission

	PRA Package Material	Submitted in 2023?	Submitted in 2025?	Summary of Changes
1	Supporting Statement Part A: Collection of Information Background, Justification, Burden Estimates, Attachments	Yes	Yes	Updates made throughout Supporting Statement A to document the revised survey instrument. Additional updates made to Attachments as documented in this table below.
2	Supporting Statement Part B: Collection of Information Employing Statistical Methods	Yes	Yes	Updates made throughout Supporting Statement B to document the revised survey instrument.
3	Attachment A: Table of Updates Since the 2023 PRA Submission	No	Yes	This is a new attachment that details the updates made to the 2025 PRA submission since the prior submission in 2023.
4	Attachment B: Crosswalk—Comparison of Current and Proposed HHCAHPS Survey Instruments	No	Yes	This is a new attachment that details the updates and edits to the Revised HHCAHPS Survey instrument for 2025.
5	Attachment C: Proposed HHCAHPS Survey mail questionnaire in all languages (English, Spanish, Simplified Chinese, Traditional Chinese, Russian, Vietnamese, and Eastern Armenian)	Yes	Yes	Survey Instrument was revised for proposed changes to survey items. See Attachment A of the PRA package for a detailed list of the changes by question. The 2023 PRA package submission included on the English language version of the mail survey.
6	Attachment D.1: HHCAHPS English Lead Letter (Survey Cover Letter) – 1st mailing	Yes	Yes	No changes to the letter since 2023. Please see attachment for a copy of the letter.
7	Attachment D.2: HHCAHPS English Lead Letter (Survey Cover Letter) – 2nd mailing	Yes	Yes	No changes to the letter since 2023. Please see attachment for a copy of the letter.
8	Attachment D.3: HHCAHPS English Telephone/CATI Survey Instrument – Standard version	Yes	Yes	Survey Instrument was revised for proposed changes to survey items. See Attachment A of the PRA package for a detailed list of the changes by question. We have provided a track change version of the CATI instrument.
9	Attachment D.4: HHCAHPS English Telephone/CATI Survey Instrument – Proxy version	Yes	Yes	Survey Instrument was revised for proposed changes to survey items. See Attachment A of the PRA package for a detailed list of the changes by question. We have provided a track change version of the CATI proxy instrument.
10	Attachment E: Chapter 4 of the HHCAHPS Protocols & Guidelines Manual	Yes Ver. 12.0	Yes Ver 17.0	No substantive changes have been made to Chapter 4 of the Protocols & Guidelines Manual since the last submission in 2023. Chapter 4 is the section on Sampling for the HHCAHPS Survey.
11	Attachment F: Participation Exemption Request (PER) Form	Yes 2024 APU	Yes 2026 APU	The updates made to the PER form were date references. No other content has changed.

Attachment A - Table of Updates Since the 2023 PRA Submission