OMB control number

ARRA Section 3012 Supporting Statement for State Health Information Exchange Cooperative Agreement Program

OMB 0990-0340 · HHS/HHSDM.

OMB 0990-0340

Latest Forms, Documents, and Supporting Material

Document Name
Form 1 Preliminary Application Data Request Form and Instruction
Justification for a Nonsubs. Change for 0990-0340.doc Justification for No Material/Nonsubstantive Change
Rev to 0990-0299 Emergency Request Form. Prelim App 083109 V6.xls Supplementary Document
3012 PRA SS A.doc Supporting Statement A
Preliminary Application Data Request Form and Instruction

All Historical Document Collections

200908-0990-010 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-08-31
200908-0990-002 Approved without change	New collection (Request for a new OMB Control Number)	2009-08-19