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OMB control number

Healthy Indiana Program (HIP) 2.0 Beneficiary Focus Groups and Informational Interviews (CMS-10615)

OMB 0938-1300 · HHS/CMS.

OMB 0938-1300
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10615 Informational Interviews
Form and Instruction
CMS-10615 - Supporting Statement A rev 04-17-18_OIRA pass CLEAN.docx
Supporting Statement A
14. SupportingStatement_PartB_19July2016.docx
Supporting Statement B
Justification for Nonsubstantive Change_5May2017_March2018_revised_clean.docx
Justification for No Material/Nonsubstantive Change
SupportingMaterials_HIP 2.0FG_03.29.2018.CLEAN.docx
Supplementary Document
Informational Interviews
Form and Instruction
Focus Groups
Other-Telephone Recruitment Script
All Historical Document Collections
201807-0938-001
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-07-05
201803-0938-011
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-04-06
201609-0938-012
Approved without change
Extension without change of a currently approved collection 2016-09-26
201605-0938-003
Approved with change
Revision of a currently approved collection 2016-05-04
201603-0938-017
Approved without change
No material or nonsubstantive change to a currently approved collection 2016-03-25
201603-0938-014
Approved without change
New collection (Request for a new OMB Control Number) 2016-03-18

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