OMB control number

State Medicaid Tobacco Coverage Survey

OMB 0920-0691 ยท HHS/CDC.

OMB 0920-0691

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Att-2b. Summary of Public Comments.pdf Supplementary Document
Att-2a. 60-day FRN.pdf Supplementary Document
Att-1. Public Health Service Act.doc Supplementary Document
Att-6. Cover Email for Feedback Report.doc Supplementary Document
Att-5. Thank You Email for Survey.doc Supplementary Document
Att-4. Cover Email for Survey.doc Supplementary Document
Att-3b. Proposed Changes to Tobacco Survey.doc Supplementary Document
0691_SS-A_011609.docSupporting Statement A
State Medicaid Tobacco Coverage Survey Other-WORD

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200902-0920-001 Reinstatement with change of a previously approved collection 2009-02-03 Approved without change
200505-0920-001 New collection (Request for a new OMB Control Number) 2005-05-23 Approved without change