OMB control number
Estimating the Gap Between the Needs of Children and Health Coverage and Benefits Through Implementation of the Affordable Care Act
OMB 0915-0369 · HHS/HSA.
OMB 0915-0369
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 Title V Survey | Form and Instruction |
| Supporting Stmt B_mr v2.docx | Supporting Statement B |
| FAQ Title V Survey v2_mr.docx | Supplementary Document |
 authorization and appropriations.mht | Supplementary Document |
 4 Research Determination.pdf | Supplementary Document |
| 3. Summary Pretest Comments.docx | Supplementary Document |
| 2. Reconciliation of FRN Comments_mr.docx | Supplementary Document |
| 5.e. Reminder Email_mr.docx | Supplementary Document |
| 5.b. Cover E-mail_mr.docx | Supplementary Document |
| 5.a. Prenotification E-mail_mr.docx | Supplementary Document |
| Supporting Stmt A_mr.docx | Supporting Statement A |
 Title V Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201308-0915-003 | New collection (Request for a new OMB Control Number) | 2013-08-20 | Approved with change |