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Child Health Status Report

IC 166163 under ICR 198102-0938-024 · OMB 0938-0097.

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Information Collection (IC) Details

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CHILD HEALTH STATUS REPORT
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-156 No No


    

54 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 224 0 0 0 0 224
Annual IC Time Burden (Hours) 39,371 0 0 0 0 39,371
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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