Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A) Modified 48651 58450 0 Other-Facility Screening Interview Script for Meeting with Facility Administrators
Other-MCBS Facility Round 55 Instrument
Other-CQuestionnaire Layout
Other-Spanish
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Other-Spanish Showcards
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Other-Spanish Showcards
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Other-Spanish Showcards
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Other-Spanish Showcards
Other-Spanish Showcards
Other-Spanish Showcards
Other-Spanish Showcards
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Other-Spanish Showcards
Other-Spanish Showcards
Other-English Showcards
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Other-Spanish Showcards
Other-English Showcards
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Other-English Showcards
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Other-General Specifications
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Other-General Specifications
Other-Entire Questionnaire Condensed
Total burden requested under this ICR: 48651 58450 0  
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