OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Uncompensated Services Assurance Report

OMB 0915-0077 ยท HHS/HSA.

OMB 0915-0077

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 710 Uncompensated Services Assurance ReportForm and Instruction
CurrentRegulations-0077.pdf Supplementary Document
AuthorizingLegislation-0077.pdf Supplementary Document
FINAL SupportingStatement A - CORRECTED AND REVISED.docSupporting Statement A
Uncompensated Services Assurance Report Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201206-0915-005 Extension without change of a currently approved collection 2012-06-25 Approved with change
201205-0915-001 Revision of a currently approved collection 2012-05-02 Withdrawn and continue
200904-0915-001 Extension without change of a currently approved collection 2009-04-14 Approved without change
200602-0915-002 Extension without change of a currently approved collection 2006-02-16 Approved without change
200212-0915-002 Extension without change of a currently approved collection 2002-12-19 Approved without change
199911-0915-002 Extension without change of a currently approved collection 1999-11-12 Approved without change
199611-0915-002 Revision of a currently approved collection 1996-11-12 Approved without change
199310-0915-001 Revision of a currently approved collection 1993-10-19 Approved without change
199106-0915-004 No material or nonsubstantive change to a currently approved collection 1991-06-19 Approved with change
199010-0915-002 Revision of a currently approved collection 1990-10-24 Approved without change
198711-0915-001 Revision of a currently approved collection 1987-11-05 Approved without change
198708-0915-003 Revision of a currently approved collection 1987-08-06 Approved without change
198612-0915-001 Revision of a currently approved collection 1986-12-09 Approved without change
198509-0915-001 Reinstatement with change of a previously approved collection 1985-09-03 Approved without change
198309-0915-006 New collection (Request for a new OMB Control Number) 1983-09-27 Approved without change