Information Collection Request
Healthy Incentives Pilot Evaluation
ICR 201105-0584-001 · OMB 0584-0561 · Historical Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0584-0561 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
| Supplementary Document | Uploaded 2011-05-06 | Available | |
| Supplementary Document | Uploaded 2011-05-06 | Repair queued | |
| Supplementary Document | Uploaded 2011-05-06 | Available | |
| Supplementary Document | Uploaded 2011-05-06 | Available | |
| Supplementary Document | Uploaded 2011-05-06 | Available | |
| Supplementary Document | Uploaded 2011-05-05 | Available | |
| Supporting Statement B | Uploaded 2011-05-24 | Available | |
| Supporting Statement A | Uploaded 2011-05-24 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 197621 | Other-Round 1 Massachusetts Executive Interview Guide | New | ||
| 197619 | Other-Round 1 EBT Contractor (ACS) Interview Guide | New | ||
| 197618 | Other-Non-responses | New | ||
| 197617 | Other-Non-responses | New | ||
| 197616 | Other-Non Responders | New | ||
| 197607 | Other-Survey | New |
ICR Details
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