Attachment C - Cost Response Template~1.docx

The document is an Attachment C Cost Response Template for a Member Experience Survey, likely related to healthcare or Medicare services. The template provides a structured format for cost response across different survey categories including CAHPS (Consumer Assessment of Healthcare Providers and Systems) Core Measure Set Reporting. The cost template breaks down expenses into four primary work categories: survey planning-protocols, survey materials preparation, administration/analysis/reporting, and interviews/focus groups.

The cost response template requires detailed financial breakdown across survey types, with specific columns for PC Survey and CAHPS Core Measure Set Reporting. Each category allows for itemized cost entry, with a total calculation section. The template appears designed for comprehensive cost accounting, ensuring all potential expenses are captured and transparently presented. While specific dollar amounts are not populated in this template, it provides a standardized framework for respondents to document their proposed costs for survey-related activities.