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

Medicare Current Beneficiary Survey (MCBS)

MP5-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⚠️ Notice: This form may be outdated.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 01/04/01

MP5

Other Types of Medical Places

Health Clinic
Neighborhood Health Center
Rural Health Clinic
Infirmary
Mental Health Clinic
Urgent Care Center
Any Other Place

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