Children's Health Insurance Program Reauthorization Act (CHIPRA) 10-State Evaluation, Telephone Interviews with State CHIP Program Administrators

ICR 201209-0990-002

OMB: 0990-0404

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supplementary Document
2012-08-08
Supporting Statement A
2012-08-08
IC Document Collections
IC ID
Document
Title
Status
204007 New
ICR Details
0990-0404 201209-0990-002
Historical Active
HHS/HHSDM
Children's Health Insurance Program Reauthorization Act (CHIPRA) 10-State Evaluation, Telephone Interviews with State CHIP Program Administrators
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/26/2012
Retrieve Notice of Action (NOA) 09/11/2012
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved
77 0 0
77 0 0
0 0 0

The Children's Health Insurance Program Reauthorization Act (CHIPRA) 10-State Evaluation will provide the federal government with new and detailed insights into how the Children's Health Insurance Program (CHIP) has evolved since its early years, what impacts on children's coverage and access to care have occurred, and what new issues have arisen as a result of policy changes related to CHIPRA and the Patient Protection and Affordable Care Act (Affordable Care Act) of 2010 (PL 111-148).

PL: Pub.L. 111 - 3 2108(c) Name of Law: CHIPRA
  
None

Not associated with rulemaking

  77 FR 33220 06/05/2012
77 FR 48523 08/14/2012
No

1
IC Title Form No. Form Name
Telephone Interview Discussion Guide

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 77 0 0 77 0 0
Annual Time Burden (Hours) 77 0 0 77 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$3,062,083
Yes Part B of Supporting Statement
Yes
No
No
No
Uncollected
Wilma Robinson 202 205-8841 wilma.robinson@hhs.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/11/2012


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