OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Health Plan Choice Experiment -- Pretest

IC 190609 under ICR 200909-0935-001 · OMB 0935-0161.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Health Plan Choice Experiment -- Pretest
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #9 Pretest Attachment S - Health Plan Experiment - Pre-Test Questionnaire.doc Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

900 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 900 0 900 0 0 0
Annual IC Time Burden (Hours) 75 0 75 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.