Information Collection

30724 Medicaid.gov Feedback Survey

IC 252232 under ICR 202109-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 30724 Medicaid.gov 30724 Medicaid.gov Feedback Survey 30724 Medicaid.gov Feedback Survey	Form and Instruction

Record metadata
IC Title	30724 Medicaid.gov Feedback Survey