Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS) (CMS-10549)
OMB 0938-1275
This OMB generic clearance request is for Medicare Current Beneficiary Survey (MCBS) Questionnaire Testing and Methodological Research. This request encompasses development and testing of MCBS questionnaires, instrumentation, as well as methodological experiments. The MCBS (OMB No. 0938-0568) is an in-person, nationally-representative, longitudinal survey of Medicare beneficiaries.
The latest form for Generic Clearance for Questionnaire Testing and Methodological Research for the Medicare Current Beneficiary Survey (MCBS) (CMS-10549) expires 2021-05-31 and can be found here.
Document Name |
|---|
Supporting Statement A |
Supporting Statement B |
CMS-10549_Supporting_Statement_Part_A.docx|
Approved without change |
Revision of a currently approved collection | 2024-04-08 | |
| Revision of a currently approved collection | 2020-12-29 | ||
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2020-05-03 | |
|
Approved with change |
Extension without change of a currently approved collection | 2018-01-24 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2015-08-03 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2015-04-02 |
CMS-10549.GenIC#3 - MCBS Cognitive Testing Self-Management Items
Federal Enterprise Architecture: Health - Health Care Services
| Form CMS-10549.GenIC#3 Attachment C | Screening Instrument | Fillable Fileable | Form |
| Form CMS-10549.GenIC#3 Attachment E | Questionnaire | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.
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