OMB control number
Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration: Focus Group Protocols
OMB 0938-1224 · HHS/CMS.
OMB 0938-1224
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10479 Informed Consent to Participate in Research for Beneficiaries and Caregivers | Form and Instruction |
| Form CMS-10479 Focus Group Guide for Caregivers of Beneficiaries | Form and Instruction |
| Form CMS-10479 Focus Group Guide for Beneficiaries | Form and Instruction |
| Form CMS-10479 Recruitment Script | Form and Instruction |
| FR60day_CMSresp8-2-13.pdf | Supplementary Document |
| FR60day_CMSresp8-2-13crosswalk.pdf | Supplementary Document |
| BeneFG-RecruitLetter_Medicare.pdf | Supplementary Document |
| BeneFG-RecruitLetter_Medicaid.pdf | Supplementary Document |
| SupportingStatement-A_852013.pdf | Supporting Statement A |
 MAPCP Demonstration: Focus Group Protocols |
Form and Instruction |
| MAPCP Demonstration: Focus Group Protocols |
Form and Instruction |
| MAPCP Demonstration: Focus Group Protocols |
Form and Instruction |
| MAPCP Demonstration: Focus Group Protocols |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201309-0938-008 | New collection (Request for a new OMB Control Number) | 2013-09-12 | Approved without change |