Medicare Non-utilization Project (MNUP)

Centenarian Project and Medicare Non-Utilzation Project Development Worksheets: Face-to-Face Interview; Telephone Interview

OMB: 0960-0780

IC ID: 208156

Documents and Forms
Document Name
Document Type
Other-Interview Worksheet
Other-Interview Worksheet
Information Collection (IC) Details

View Information Collection (IC)

Medicare Non-utilization Project (MNUP)
 
No Modified
 
Voluntary
 
20 CFR 422.135 20 CFR 416.204(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Worksheet Face to Face Worksheet.pdf Yes No Printable Only
Other-Interview Worksheet Telephone Contact Worksheet.pdf Yes No Printable Only

Income Security General Retirement and Disability

 

15,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,000 0 0 -5,000 0 20,000
Annual IC Time Burden (Hours) 3,750 0 0 -1,250 0 5,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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