OMB control number
Beneficiary Interview Questionnaire
OMB 0990-0068 ยท HHS/HHSDM.
OMB 0990-0068
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 BENEFICIARY INTERVIEW QUESTIONNAIRE |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198103-0990-003 | New collection (Request for a new OMB Control Number) | 1981-03-31 | Approved without change |