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

Medicare Current Beneficiary Survey (MCBS)

DI2-Eng

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

OMB: 0938-0568

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Created 08/1/06

DI2

Annual Income

Monthly Breakdown

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 +


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