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Health Insurance Plans Research Study
OMB 0920-1079
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HHS/CDC
OMB 0920-1079
OMB 0920-1079
Latest Forms, Documents, and Supporting Material
Document
Name
Telephone Interview Script
Form
Prevention and Wellness Survey
Form
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.docx
Supporting Statement B
Supporting Statement A_031615.docx
Supporting 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
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201503-0920-007
Approved without change
New collection (Request for a new OMB Control Number)
2015-03-31
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