OMB control number
Children's Health Insurance Program Reauthorization Act (CHIPRA) 10-State Evaluation, Telephone Interviews with State CHIP Program Administrators
OMB 0990-0404 · HHS/HHSDM.
OMB 0990-0404
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Supporting Statement Part B_Aug 6.DOCX | Supporting Statement B |
| Attachment A Legislation.docx | Supplementary Document |
 Attachment E_Design Report.pdf | Supplementary Document |
| Attachment D1_State Letter.docx | Supplementary Document |
| Attachment D2_Consent Form.docx | Supplementary Document |
| Supporting Statement Part A_Aug 6.DOCX | Supporting Statement A |
 Telephone Interview Discussion Guide |
Other-Fact Sheet |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201209-0990-002 | New collection (Request for a new OMB Control Number) | 2012-09-11 | Approved with change |