OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

CHIP and Medicaid Personnel

IC 199535 under ICR 201110-0990-006 · OMB 0990-0384.

Documents and Forms
Document Name
Document Type
Other-discussion guide
Other-discussion guide
Other-discussion guide
Other-discussion guide
Information Collection (IC) Details

View Information Collection (IC)

CHIP and Medicaid Personnel
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-discussion guide CHIP Part A_Attachment C1_Case Studies_State Officials.pdf Yes Yes Fillable Fileable
Other-discussion guide 0990-CHIP Part B_Attachment C2_Case Studies_Community Enrollment Agencies.pdf Yes Yes Fillable Fileable
Other-discussion guide 0990-CHIP Part B_Attachment C3_Case Studies_Health Care Providers.pdf Yes Yes Fillable Fileable
Other-discussion guide 0990-CHIP Part B_Attachment C4_Case Studies_Managed Care and Health Plans.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

300 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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 300 0 300 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.