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

Medicare Current Beneficiary Survey (MCBS)

HF6-Eng

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⚠️ Notice: This form may be outdated.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:

2025-04-09 - No material or nonsubstantive change to a currently approved collection
2024-07-24 - Revision of a currently approved collection

Document [pdf]

Download: pdf | pdf

Created 7/31/09

HF6

Type 1 ("Insulin-dependent", "Juvenile-onset")

Type 2 (“Non-insulin-dependent”, “Adult-onset”)
	
Borderline

Pre-diabetes

Gestational (Pregnancy-related)

File Type	application/pdf
Author	hubbard_r
File Modified	2010-03-30
File Created	0000-00-00