Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Comparative Database

OMB 0935-0197

The Agency for Healthcare Research and Quality (AHRQ) requests that the Office of Management and Budget (OMB) approve, under the Paperwork Reduction Act of 1995, AHRQ's collection of information for the AHRQ Consumer Assessment of Healthcare Providers and Systems (CAHPS) Database for Clinicians and Groups. The CAHPS Clinician and Group Database (CAHPS CG Database) consists of data from the AHRQ CAHPS Clinician and Group Survey (CAHPS CG Survey). Health systems administrators, medical groups and medical practitioners in the U.S. are asked to voluntarily submit data from the CAHPS CG Survey to AHRQ, through its contractor.

The latest form for Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey Comparative Database expires 2022-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 3 Data Submission Form and Instruction
Form 2 Data Agreement Form and Instruction
Form 1 Registration Form Form and Instruction
Attachment F Data Submission Secure Web Site and Information Collection Forms.doc Supplementary Document
Attachment E Submission Emails.doc Supplementary Document
Attachment D CAHPS Database Technical Expert Panel Members.doc Supplementary Document
Supporting Statement Part B -- CAHPS Clinician & Group Survey Database.doc Supporting Statement B
Supporting Statement Part A -- CAHPS Clinician Group Survey Database (2).docx Supporting Statement A
Data Submission Form and Instruction
Data Agreement Form and Instruction
Registration Form Form and Instruction

All Historical Document Collections

201810-0935-001 Approved without change	Revision of a currently approved collection	2018-10-11
201510-0935-001 Approved without change	Reinstatement without change of a previously approved collection	2015-11-25
201202-0935-006 Approved with change	New collection (Request for a new OMB Control Number)	2012-02-17

OMB Details

Registration Form

Federal Enterprise Architecture: Health - Health Care Services

Form 1

Attachment A: Clinician and Group Data Submission System Registration Form

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.