CAPI Screenshots of Introductory Screen and Thank You Screen

Attachment7CAPIscreenshots.pdf

Medicare Current Beneficiary Survey (MCBS) (CMS-P-0015A)

CAPI Screenshots of Introductory Screen and Thank You Screen

OMB: 0938-0568

Document [pdf]
Download: pdf | pdf
NORC

| Attachment 7 CAPI Screenshots

Community Questionnaire Introduction Screen

PAGE | 1

NORC

| Attachment 7 CAPI Screenshots

Community Questionnaire End Screen

PAGE | 2

NORC

| Attachment 7 CAPI Screenshots

Community Questionnaire End Screen for Baseline Beneficiaries

PAGE | 3

NORC

| Attachment 7 CAPI Screenshots

Facility Instrument Screenshot

PAGE | 4


File Typeapplication/pdf
File TitleAttachment 7 CAPI screenshots
SubjectMCBS, OMB, PRA, ICR package, cognitive testing report
AuthorCMS
File Modified2020-01-28
File Created2020-01-17

© 2024 OMB.report | Privacy Policy