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Evaluation of the Oregon Medicaid Reform Demonstration, Baseline Survey

IC 8270 under ICR 199511-0938-001 · OMB 0938-0681.

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Evaluation of the Oregon Medicaid Reform Demonstration, Baseline Survey
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-179 No No


    

2,667 0
   
Individuals or Households
 
   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 2,667 0 2,667 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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