OMB control number
Survey on Long-Term Care Awareness and Planning
OMB 0990-0417 ยท HHS/HHSDM.
OMB 0990-0417
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form LTC Survey FInal Self-administered, Web-based questionnaire | Form |
| LTC Awareness and Planning Survey Supporting Statement B.docx | Supporting Statement B |
 LTC Awareness and Planning Survey 60-day.pdf | Supplementary Document |
| Approval Notice 13131 Full Study (2).pdf | Supplementary Document |
| Revised LTC Awareness and Planning Survey OMB Package 60-day Section A 051214.docx | Supporting Statement A |
 Self-administered, Web-based questionnaire |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201312-0990-001 | New collection (Request for a new OMB Control Number) | 2013-12-04 | Approved with change |