MPC Contact Guide/Screening Call

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

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 68 MPC Hospital Contact Guide.docx Yes Yes Fillable Fileable
Form and Instruction Form #2 Office Based Contact Guide Attachment 69 MPC Office Based Doctors Contact Guide.docx Yes Yes Fillable Fileable
Form and Instruction Form #3 SBD Contact Guide Attachment 73 MPC Separately Billing Doctors Contact Guide.docx Yes Yes Fillable Fileable
Form and Instruction Form #4 Hospital Contact Guide Attachment 70 MPC Home Care Contact Guide.docx Yes Yes Fillable Fileable
Form and Instruction Form #5 Institution Contact Guide Attachment 71 MPC Institution Contact Guide.docx Yes Yes Fillable Fileable
Form and Instruction Form #6 Pharmacy Contact Guide Attachment 72 MPC Pharmacy Contact Guide.docx Yes Yes Fillable Fileable

Health Immunization Management

 

35,222 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 35,222 0 0 0 0 35,222
Annual IC Time Burden (Hours) 1,174 0 0 0 0 1,174
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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