OMB control number
Medicaid Quality Control Third Party Resource Worksheet (hcfa 301c) - (addendum) Third Party Liability Review Worksheet (hcfa-301d)
OMB 0938-0108 · HHS/CMS.
OMB 0938-0108
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 MEDICAID QUALITY CONTROL THIRD PARTY RESOURCE WORKSHEET (HCFA 301C) - (ADDENDUM) THIRD PARTY LIABILITY REVIEW WORKSHEET (HCFA-301D) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198308-0938-007 | Reinstatement with change of a previously approved collection | 1983-08-10 | Approved without change | |
| 198305-0938-009 | No material or nonsubstantive change to a currently approved collection | 1983-05-18 | Approved with change | |
| 198206-0938-011 | Revision of a currently approved collection | 1982-06-30 | Approved without change | |
| 198201-0938-001 | Reinstatement with change of a previously approved collection | 1982-01-29 | Approved without change | |
| 198008-0938-003 | Revision of a currently approved collection | 1980-08-04 | Approved without change | |
| 198005-0938-003 | New collection (Request for a new OMB Control Number) | 1980-05-29 | Approved without change |