Pharmacies questionnaire

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

OMB: 0935-0118

IC ID: 191107

Information Collection (IC) Details

View Information Collection (IC)

Pharmacies 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 Pharmacies questionnaire Attachment 48 -- MPC Pharmacies Questionnaire.doc Yes Yes Fillable Fileable

Health Immunization Management

 

6,800 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 158,440 0 0 0 0 158,440
Annual IC Time Burden (Hours) 7,922 0 0 0 0 7,922
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment 50 -- MPC Pharmacy Respondent Materials - FAX Version Attachment 50 -- MPC Pharmacy Respondent Materials - FAX Version.doc 09/24/2012
Attachment 51 -- MPC Pharmacy Respondent Materials - Phone Version Attachment 51 -- MPC Pharmacy Respondent Materials - 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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