MPC Contact Guide/Screening Call

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

OMB: 0935-0118

IC ID: 204200

Information Collection (IC) Details

View Information Collection (IC)

MPC Contact Guide/Screening Call
 
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 Home Health Contact Guide for Organizations Attachment 29 -- MPC Home Health Contact Guide for Organizations.doc Yes Yes Fillable Fileable
Form and Instruction Form #2 Office Based Contact Guide Attachment 35 -- MPC Office Based Contact Guide.doc Yes Yes Fillable Fileable
Form and Instruction Form #3 SBD Contact Guide Attachment 37 -- MPC SBD Contact Guide.doc Yes Yes Fillable Fileable
Form and Instruction Form #4 Hospital Contact Guide Attachment 41 -- MPC Hospital Contact Guide.doc Yes Yes Fillable Fileable
Form and Instruction Form #5 Institution Contact Guide Attachment 47 -- MPC Institution Contact Guide.doc Yes Yes Fillable Fileable
Form and Instruction Form #6 Pharmacy Contact Guide Attachment 49 -- MPC Pharmacy Contact Guide.doc Yes Yes Fillable Fileable

Health Immunization Management

 

34,000 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 34,000 0 0 0 0 34,000
Annual IC Time Burden (Hours) 1,700 0 0 0 0 1,700
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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