OMB control number

Health Maintenance Organization Qualification Application, Health Maintenance Organization Expansion Application, Competitive Medical Plan Application

OMB 0915-0065 · HHS/HSA.

OMB 0915-0065

Latest Forms, Documents, and Supporting Material

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
198510-0915-003 Revision of a currently approved collection 1985-10-29 Approved without change
198409-0915-002 Revision of a currently approved collection 1984-09-18 Approved without change
198306-0915-012 Revision of a currently approved collection 1983-06-10 Approved without change