Information Collection Request

HDCI 2 Survey of Group Health Plans

ICR 200702-1210-001 · OMB 1210-0129 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
EBSA response to AHIP Comment.doc Supplementary Document Uploaded 2007-03-09 Available
HDCI2ss07.doc Supporting Statement B Uploaded 0000-00-00 Available
telephone script revised OMB 4-26 clean.doc Supporting Statement A Uploaded 2007-04-26 Available
HDCI 2 - BLS approval.pdf Supplementary Document Uploaded 2006-11-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
178579 HDCI 2 Survey of Group Health Plans Other-HDCI 2 Telephone Script New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2010 36 Months From Approved
5,000 0 0
417 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
HDCI 2 Survey of Group Health Plans

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 417 0 0 417 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No