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Information Collection

Survey of Primary Caregivers for the District of Columbia's Managed Care Demonstration for Disabled and Special Needs Children

IC 8359 under ICR 199712-0938-008 · OMB 0938-0712.

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Survey of Primary Caregivers for the District of Columbia's Managed Care Demonstration for Disabled and Special Needs Children
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-212 Yes Yes


    

2,831 0
   
Individuals or Households
 
   90 %

  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 2,831 0 2,831 0 0 0
Annual IC Time Burden (Hours) 2,124 0 2,124 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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