Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS)

DI2-Sp

Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

OMB: 0938-0568

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0568 can be found here:

2024-07-24 - Revision of a currently approved collection
2024-04-01 - No material or nonsubstantive change to a currently approved collection

Document [pdf]

Download: pdf | pdf

Created 08/1/06

DI2

Ingreso Anual

Ingreso Mensual

F. $25.000 – 29.999

F. $2.084 – 2.499


G. $30.000 – 39.999

G. $2.500 – 3.333


H. $40.000 – 49.999

H. $3.334 – 4.166


I.

I.

$50.000 +

$4.167 +

File Type	application/pdf
Author	hubbard_r
File Modified	2010-04-01
File Created	0000-00-00