Institutions (non-hospital) questionnaire

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)

OMB: 0935-0118

IC ID: 191106

Information Collection (IC) Details

View Information Collection (IC)

Institutions (non-hospital) questionnaire
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #1 Institutions (non-hospital) questionnaire Attachment 46 -- MPC Institutions (non-hospital) Questionnaire.doc Yes Yes Fillable Fileable

Health Immunization Management

 

100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 150 0 0 0 0 150
Annual IC Time Burden (Hours) 13 0 0 0 0 13
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 42 -- MPC Hospital Respondent Materials - Patient Accounts - FAX Version Attachment 42 -- MPC Hospital Respondent Materials - Patient Accounts - FAX Version.doc 09/24/2012
Attachment 43 -- MPC Hospital Respondent Materials - Patient Accounts - Phone Version Attachment 43 -- MPC Hospital Respondent Materials - Patient Accounts - Phone Version.doc 09/24/2012
Attachment 44 -- MPC Hospital Respondent Materials - Patient Records - Fax Version Attachment 44 -- MPC Hospital Respondent Materials - Patient Records - Fax Version.doc 09/24/2012
Attachment 45 -- MPC Hospital Respondent Materials - Patient Records - Phone Version Attachment 45 -- MPC Hospital Respondent Materials - Patient Records - Phone Version.doc 09/24/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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