OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Uncompensated Services Assurance Report

OMB 0915-0077 · HHS/HSA.

OMB 0915-0077
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved with change
 Extension without change of a currently approved collection 2012-06-25
Withdrawn and continue
 Revision of a currently approved collection 2012-05-02
Approved without change
 Extension without change of a currently approved collection 2009-04-14
Approved without change
 Extension without change of a currently approved collection 2006-02-16
Approved without change
 Extension without change of a currently approved collection 2002-12-19
Approved without change
 Extension without change of a currently approved collection 1999-11-12
Approved without change
 Revision of a currently approved collection 1996-11-12
Approved without change
 Revision of a currently approved collection 1993-10-19
Approved with change
 No material or nonsubstantive change to a currently approved collection 1991-06-19
Approved without change
 Revision of a currently approved collection 1990-10-24
Approved without change
 Revision of a currently approved collection 1987-11-05
Approved without change
 Revision of a currently approved collection 1987-08-06
Approved without change
 Revision of a currently approved collection 1986-12-09
Approved without change
 Reinstatement with change of a previously approved collection 1985-09-03
Approved without change
 New collection (Request for a new OMB Control Number) 1983-09-27