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Information Collection

Medicare Beneficiary Information Needs: Supplement to the Medicare Current Beneficiary Survey (MCBS)

IC 8477 under ICR 199902-0938-005 · OMB 0938-0759.

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Information Collection (IC) Details

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Medicare Beneficiary Information Needs: Supplement to the Medicare Current Beneficiary Survey (MCBS)
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-P-15A No No


    

12,000 0
   
Individuals or Households
 
   0 %

  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 12,000 0 12,000 0 0 0
Annual IC Time Burden (Hours) 3,000 0 3,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.