OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Organ Procurement Organization/Histocompatibility Laboratory Cost Report (CMS-216-94)

OMB 0938-0102 · HHS/CMS.

OMB 0938-0102

This form is required by statue and regulation for participation in the Medicare program. The information is used to determine payment for Medicare. Organ Procurement Organizations and Histocompatibility Laboratories are the users.

The latest form for Organ Procurement Organization/Histocompatibility Laboratory Cost Report (CMS-216-94) expires 2027-11-30 and is listed under ICR 202409-0938-021.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 216-94 Organ Procurement Organization/Histcompatibility Laboratory Statement of Reimbursable Costs, Manual Instructions (CMS-216-94)Form
2024 PRA OPO HCL - Supporting Statement-Form CMS-216-94.docxSupporting Statement A
Organ Procurement Organization/Histcompatibility Laboratory Statement of Reimbursable Costs, Manual Instructions (CMS-216-94) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202409-0938-021 Extension without change of a currently approved collection 2024-10-02
202110-0938-010 Reinstatement without change of a previously approved collection 2021-10-18 Approved without change
201709-0938-010 Extension without change of a currently approved collection 2017-09-29 Approved without change
201407-0938-006 Extension without change of a currently approved collection 2014-07-08 Approved without change
201105-0938-003 Extension without change of a currently approved collection 2011-05-13 Approved without change
200805-0938-007 Extension without change of a currently approved collection 2008-05-19 Approved without change
200607-0938-005 Extension without change of a currently approved collection 2006-07-06 Approved without change
200306-0938-006 Extension without change of a currently approved collection 2003-06-13 Approved without change
200008-0938-010 Extension without change of a currently approved collection 2000-08-29 Approved without change
199708-0938-004 Extension without change of a currently approved collection 1997-08-19 Approved without change
199410-0938-001 Revision of a currently approved collection 1994-10-07 Approved without change
199310-0938-002 Reinstatement with change of a previously approved collection 1993-10-14 Approved without change
198909-0938-002 Revision of a currently approved collection 1989-09-27 Approved without change
198608-0938-008 Revision of a currently approved collection 1986-08-14 Approved without change
198503-0938-019 Reinstatement with change of a previously approved collection 1985-03-26 Approved without change
198211-0938-001 Revision of a currently approved collection 1982-11-10 Approved without change
198112-0938-003 Revision of a currently approved collection 1981-12-01 Approved without change
198109-0938-007 No material or nonsubstantive change to a currently approved collection 1981-09-01 Approved with change
198007-0938-001 New collection (Request for a new OMB Control Number) 1980-07-14 Approved without change