Penalty Requirements Applicable To The Epsdt Program

OMB 0938-0099

Latest Forms, Documents, and Supporting Material

Document Name
PENALTY REQUIREMENTS APPLICABLE TO THE EPSDT PROGRAM Form

All Historical Document Collections

198103-0938-001 Approved without change	Reinstatement with change of a previously approved collection	1981-03-06
198004-0938-002 Approved without change	New collection (Request for a new OMB Control Number)	1980-04-25