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Interview Guide
Medicare Part C and Medicare Part D Enrollment Form Interviews (CMS-10816)
OMB: 0938-1440
IC ID: 257119
OMB.report
HHS/CMS
OMB 0938-1440
ICR 202312-0938-005
IC 257119
( )
Documents and Forms
Document Name
Document Type
Form CMS-10816
Interview Guide
Form and Instruction
CMS-10816 Informed Consent
Attachment D - Informed Consent Form CMS-10816_508.pdf
Form and Instruction
CMS-10816 Cognitive Interview Protocol
Attachment A_Revised Interview Protocol for Medicare Parts CD Cognitive Interview Study clean.docx
Form and Instruction
Attachment E - Persons Consulted CMS-10816_508.pdf
Person consulted
IC Document
Attachment F Analysis Plan CMS-10816_508.pdf
Analysis Plan
IC Document
Information Collection (IC) Details
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