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Diabetes Care SAQ
Medical Expenditure Panel Survey - Household and Medical Provider Components
OMB: 0935-0118
IC ID: 191099
OMB.report
HHS/AHRQ
OMB 0935-0118
ICR 202401-0935-001
IC 191099
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0118 can be found here:
2024-07-02 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Attachment 22
Diabetes Care SAQ
Form and Instruction
Attachment 22 Attachment 22 -- HC Diabetes SAQ - Proxy
Attachment 22 HC Diabetes SAQ Proxy.pdf
Form and Instruction
Attachment 23 Attachment 23 -- HC Diabetes SAQ - Self
Attachment 23 HC Diabetes SAQ Self.pdf
Form and Instruction
Information Collection (IC) Details
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