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Medicare Beneficiary Experiences with Care Survey (MBECS) System (CMS-10701)
OMB 0938-1413
OMB.report
HHS/CMS
OMB 0938-1413
OMB 0938-1413
Latest Forms, Documents, and Supporting Material
Document
Name
MBECS Supporting Statement Part A_.docx
Supporting Statement A
Attachment A - MBECS questionnaire.pdf
Supplementary Document
MBECS Screenshots.pdf
Supplementary Document
OMH Response and Comments Summary.docx
Supplementary Document
MBECS Supporting Statement Part B_.docx
Supporting Statement B
All Historical Document Collections
202107-0938-016
Approved with change
New collection (Request for a new OMB Control Number)
2021-07-30
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