OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-64)

OMB 0938-0067 · HHS/CMS.

OMB 0938-0067

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-64 Quarterly Medicaid Statement of Expenditures for the Medical Assistance ProgramForm
Rsponse to BEA on PRA UPDATE.DOC Supplementary Document
CMS-64 Disclosure Statement.doc Supplementary Document
Copy of CMS-64_-_Crosswalk.xlsx Supplementary Document
CMS-64 - Supporting Statement part A rev 06-12-2013.docSupporting Statement A
Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201305-0938-020 Revision of a currently approved collection 2013-05-28 Approved with change
201103-0938-010 Revision of a currently approved collection 2011-03-21 Approved without change
200806-0938-002 Extension without change of a currently approved collection 2008-06-16 Approved without change
200504-0938-002 Extension without change of a currently approved collection 2005-04-20 Approved without change
200202-0938-005 Revision of a currently approved collection 2002-02-07 Approved without change
199812-0938-002 Revision of a currently approved collection 1998-12-01 Approved without change
199806-0938-009 Revision of a currently approved collection 1998-06-23 Approved without change
199803-0938-012 Extension without change of a currently approved collection 1998-03-30 Approved without change
199501-0938-001 Revision of a currently approved collection 1995-01-06 Approved without change
199310-0938-015 Revision of a currently approved collection 1993-10-14 Approved without change
199209-0938-006 Reinstatement with change of a previously approved collection 1992-09-16 Approved without change
199103-0938-010 Revision of a currently approved collection 1991-03-08 Approved without change
199011-0938-001 Revision of a currently approved collection 1990-11-30 Withdrawn and continue
198808-0938-004 Revision of a currently approved collection 1988-08-18 Approved without change
198703-0938-009 Revision of a currently approved collection 1987-03-04 Approved without change
198605-0938-019 No material or nonsubstantive change to a currently approved collection 1986-05-29 Approved with change
198512-0938-004 Revision of a currently approved collection 1985-12-31 Approved without change
198508-0938-002 Revision of a currently approved collection 1985-08-06 Approved without change
198410-0938-003 Revision of a currently approved collection 1984-10-24 Approved without change
198311-0938-005 Revision of a currently approved collection 1983-11-02 Approved without change
198309-0938-001 Revision of a currently approved collection 1983-09-13 Approved without change
198212-0938-003 Reinstatement with change of a previously approved collection 1982-12-02 Approved without change
198203-0938-012 No material or nonsubstantive change to a currently approved collection 1982-03-30 Approved with change
198004-0938-003 No material or nonsubstantive change to a currently approved collection 1980-04-18 Approved with change
197906-0938-006 No material or nonsubstantive change to a currently approved collection 1979-06-28 Approved with change
197906-0938-005 No material or nonsubstantive change to a currently approved collection 1979-06-28 Approved with change
197812-0938-004 Revision of a currently approved collection 1978-12-31 Withdrawn
197811-0938-001 No material or nonsubstantive change to a currently approved collection 1978-11-27 Approved with change
197807-0938-006 Revision of a currently approved collection 1978-07-11 Approved without change
197807-0938-004 Revision of a currently approved collection 1978-07-11 Approved without change
197805-0938-005 No material or nonsubstantive change to a currently approved collection 1978-05-30 Approved with change
197601-0938-003 Extension without change of a currently approved collection 1976-01-13 Approved without change
197508-0938-001 No material or nonsubstantive change to a currently approved collection 1975-08-04 Approved with change
197505-0938-002 Extension without change of a currently approved collection 1975-05-20 Approved without change