OMB control number
Application To Participate In The Public Health Capitation Program, 42 Cfr 57
OMB 0915-0089 · HHS/HSA.
OMB 0915-0089
Latest Forms, Documents, and Supporting Material
APPLICATION TO PARTICIPATE IN THE PUBLIC HEALTH CAPITATION PROGRAM, 42 CFR 57 All Historical Document Collections
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Approved without change |
Reinstatement with change of a previously approved collection | 1989-01-10 | |
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Approved without change |
Extension without change of a currently approved collection | 1986-11-12 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1986-06-11 | |
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Approved without change |
Extension without change of a currently approved collection | 1985-09-18 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1985-03-25 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1984-06-06 |