Information Collection
State Plan Under Title XIX of the Social Security Act (Base plan pages)
IC 7877 under ICR 201203-0938-014 · OMB 0938-0193.
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0193 can be found here:
Documents and Forms
Document Name Document Type |
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Form and Instruction |
Other-Exhibt A |
Other-Exhibit A1 |
Other-Exhibit AA |
Other-Exhibit AB |
Other-Exhibit AC |
Other-Exhibit AD |
Other-Exhibit AE |
Other-Exhibit AF |
Other-Exhibit AG |
Other-Exhibit D and E |
Other-Exhibit F and G |
Other-Exhibit H and J |
Other-Exhibit N |
Other-Exhibit O |
Other-Exhibit P |
Other-Exhibit Y |
Other-FMG |
Other-Exhibit R S T U |
Form and Instruction |
|
IC Document |
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IC Document |
Information Collection (IC) Details