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Form Attachment C Attachment C Attachment C
Medical Expenditure Panel Survey - Household and Medical Provider Components
Attachment C. SDOH SAQ_paper draft 4_to AHRQ
Attachment C – Social and Health Experiences Self-Administered Questionnaire
OMB: 0935-0118
OMB.report
HHS/AHRQ
OMB 0935-0118
ICR 202401-0935-001
IC 242879
Form Attachment C Attachment C Attachment C
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0935-0118 can be found here:
2024-07-02 - Revision of a currently approved collection
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