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Local - Level Key Informant (ELE)
CHIPRA-Children's Health Insurance Program Reauthorization Act of 2009 -ELE
OMB: 0990-0400
IC ID: 202105
OMB.report
HHS/HHSDM
OMB 0990-0400
ICR 201204-0990-004
IC 202105
( )
Documents and Forms
Document Name
Document Type
0990-CHIPRA_ELE_ATTACHMENT D.2 Non Case Study Protocol Combined.docx
Other-study
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Local - Level Key Informant (ELE)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-study
0990-CHIPRA_ELE_ATTACHMENT D.2 Non Case Study Protocol Combined.docx
No
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
90
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
90
0
90
0
0
0
Annual IC Time Burden (Hours)
90
0
90
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.