National Medical Support Notice - Part A

ICR 202302-0970-005

OMB: 0970-0222

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0222 can be found here:

2024-01-03 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form NMSN Matrix State Medical Support Contacts and Program Requirement Matrix (State Respondents) Form	Unchanged
Form Part A - Revised 2 National Medical Support Notice-Part A (Employer Respondents) Form	Modified
Form Part A - Revised 2 National Medical Support Notice-Part A (State Respondents) Form	Modified
NMSN Part A _NonSub Change Request_nc_3-2-23.docx Justification for No Material/Nonsubstantive Change	2023-03-02
NonSub Change Request - MNSN Updates 0970-0222.docx Justification for No Material/Nonsubstantive Change	2022-11-23
2022 10 27 Public Comments Received on the National Medical Support Notice Part A after 30 day comment period Responses Final for NC.docx Supplementary Document	2022-11-23
Attachment A - Public Comments Received on the National Medical Support Notice Part A_final.docx Supplementary Document	2022-09-16
2022 10 27 NMSN_Part_A_Sample_Form_after 30 day comment period clean Final to NC.docx Supplementary Document	2022-11-23
NMSN Part A Supporting Statement _9.15.22_final.docx Supporting Statement A	2022-09-16

IC Document Collections

IC ID	Document Title	Status
255976	State Medical Support Contacts and Program Requirement Matrix (State Respondents) Form	Unchanged
236881	National Medical Support Notice-Part A (Employer Respondents) Form	Modified
10060	National Medical Support Notice-Part A (State Respondents) Form	Modified

ICR Details

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