CMS-10549.GenIC #4: MCBS Testing of Revised Advance Letter

Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS) (CMS-10549)

OMB: 0938-1275

IC ID: 233732

Information Collection (IC) Details

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CMS-10549.GenIC #4: MCBS Testing of Revised Advance Letter OEDA
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-10549.GenIC#4 - Appendix A.docx Yes No Printable Only
Instruction CMS-10549.GenIC#4 - Appendix B.docx Yes No Printable Only

Health Health Care Services

 

11,000 0
   
Individuals or Households
 
   0 %

  Requested 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 11,000 0 0 0 0 11,000
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10549.GenIC#4 - Mini Supporting Statement CMS-10549.GenIC#4 - Mini Supporting Statement.docx 10/26/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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