OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Health Insurance Plans Research Study

OMB 0920-1079 ยท HHS/CDC.

OMB 0920-1079

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Telephone Interview ScriptForm
Prevention and Wellness SurveyForm
Appendix B_Published60DayFRN_Health Insurance Plans Research Study_10282014-25561.pdf Supplementary Document
Appendix A_Section 301 Public Health Service Act_012115.docx Supplementary Document
Supporting Statement B_031615.docxSupporting Statement B
Supporting Statement A_031615.docxSupporting Statement A
Telephone Interview Script Form
Administrative Support Activity Other-non-instrument
Key Health Plan Contact Activity Other-Non-instrument
Prevention and Wellness Survey Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201503-0920-007 New collection (Request for a new OMB Control Number) 2015-03-31 Approved without change