OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Parents and other family members of Children (focus group)

IC 199536 under ICR 201110-0990-006 · OMB 0990-0384.

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

View Information Collection (IC)

Parents and other family members of Children (focus group)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-focus group guide 0990-CHIP Part B_Attachment D1_Focus Group_Moderator Guide for Parents with Employer Insurance.pdf Yes Yes Fillable Fileable
Other-focus group guide 0990-CHIP Part B_Attachment D2_Focus Group Moderator Guide for Parents of CHIP Enrollees.pdf Yes Yes Fillable Fileable
Other-focus group guide 0990-CHIP Part A_Attachment D3_Focus Group Moderator Guide for Parents of CHIP Disenrollees.pdf Yes Yes Fillable Fileable
Other-focus group guide 0990-CHIP Part A_Attachment D4_Focus Group Moderator Guide for Parents of Eligible but Uninsured.pdf Yes Yes Fillable Fileable

Health Illness Prevention

 

240 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 240 0 240 0 0 0
Annual IC Time Burden (Hours) 480 0 480 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.