OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

State Medicaid Tobacco Coverage Survey

OMB 0920-0691 · HHS/CDC.

OMB 0920-0691

Latest Forms, Documents, and Supporting Material

Document Name
Att-2b. Summary of Public Comments.pdf Supplementary Document
Att-2a. 60-day FRN.pdf Supplementary Document
Att-1. Public Health Service Act.doc Supplementary Document
Att-6. Cover Email for Feedback Report.doc Supplementary Document
Att-5. Thank You Email for Survey.doc Supplementary Document
Att-4. Cover Email for Survey.doc Supplementary Document
Att-3b. Proposed Changes to Tobacco Survey.doc Supplementary Document
0691_SS-A_011609.doc Supporting Statement A
State Medicaid Tobacco Coverage Survey Other-WORD

All Historical Document Collections

200902-0920-001 Approved without change	Reinstatement with change of a previously approved collection	2009-02-03
200505-0920-001 Approved without change	New collection (Request for a new OMB Control Number)	2005-05-23