View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Medicare Current Beneficiary Survey (MCBS): Rounds 48-56 (CMS Number CMS-P-0015A)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only
Form and Instruction CMS-P-0015A Yes Yes Paper Only

Health Health Care Services

 

1,100 100
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,300 0 3,300 0 0 0
Annual IC Time Burden (Hours) 3,355 0 3,355 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
MCBS Calendars for Supplemental and Continuing Samples
Calendar for Supplemental Samples
Calendar for Continuing Samples
Advance Letter
At the door sheet
MCBS Brochure
Confidentiality Agreement
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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