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

Medicare Current Beneficiary Survey (MCBS)

DI3-Eng

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

OMB: 0938-0568

Document [pdf]
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Created 07/25/02

DI3

Annual Income

Monthly Breakdown

A. Less than $5,000

A. Less than $417

B. $5,000 - 9,999

B. $417 - 833

C. $10,000 - 14,999

C. $834 - 1,249

D. $15,000 - 19,999

D. $1,250 - 1,666

E. $20,000 - 24,999

E. $1,667 - 2,083


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