Document
Disenrollee Web Survey
ICR 201609-0938-012 · OMB 0938-1300 · Object 68269602.
This document may belong to an older filing. More recent activity for OMB 0938-1300:
Document Viewer [pdf]
Status: No verified local artifact is currently available. The document remains flagged for repair and upstream re-check.
Queue: Repair is queued and waiting for the next worker pass. (priority 20 · next 2026-06-06 05:01:18)
Missing: pdf
No local or Spaces-backed artifact is available yet for this document.
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Disenrollee Web Survey |
| Subject | Healthy Indiana Plan; HIP; Disenrollee Web Survey |
| Author | Centers for Medicare & Medicaid Services |
| File Modified | 2016-09-28 |
| File Created | 2016-07-20 |
| Conversion State | failed_conversion |