OMB control number

Health Insurance Plans Research Study

OMB 0920-1079 · HHS/CDC.

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

All Historical Document Collections

201503-0920-007

2015-03-31