OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Third Party Premium Billing Request and Supporting Regulations in 42 CFR 408.6 and 408.202

OMB 0938-0041 · HHS/CMS.

OMB 0938-0041

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Third Party Premium Billing Request and Supporting Regulations in 42 CFR 408.6 and 408.202 Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200310-0938-001 Revision of a currently approved collection 2003-10-01 Approved with change
200008-0938-011 Extension without change of a currently approved collection 2000-08-29 Approved without change
199708-0938-002 Reinstatement without change of a previously approved collection 1997-08-05 Approved without change
199312-0938-003 Reinstatement with change of a previously approved collection 1993-12-21 Approved without change
199008-0938-003 Reinstatement with change of a previously approved collection 1990-08-14 Approved without change
198906-0938-012 No material or nonsubstantive change to a currently approved collection 1989-06-15 Approved with change
198904-0938-036 No material or nonsubstantive change to a currently approved collection 1989-04-12 Approved with change
198904-0938-031 No material or nonsubstantive change to a currently approved collection 1989-04-10 Approved with change
198904-0938-015 No material or nonsubstantive change to a currently approved collection 1989-04-03 Approved with change
198704-0938-004 Extension without change of a currently approved collection 1987-04-29 Approved without change
198412-0938-001 Reinstatement with change of a previously approved collection 1984-12-03 Approved without change
198110-0938-008 Extension without change of a currently approved collection 1981-10-19 Approved without change
197701-0938-003 Extension without change of a currently approved collection 1977-01-13 Approved without change
197701-0938-002 Reinstatement with change of a previously approved collection 1977-01-10 Approved without change