OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations

OMB 0938-0147 · HHS/CMS.

OMB 0938-0147

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CMS 319 - Supporting Statement Part A 30df.pdf (document unavailable)Supporting Statement A
Attachment B MEQC case level template 01212021.xlsmSupplementary Document
MEQC updated Phase 1 guidance 081720.pdfSupplementary Document
State Medicaid Eligibility Quality Control Sample Selection Lists and Supporting Regulations at 42 CFR 431.800 - 431.865 Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202602-0938-007 Reinstatement without change of a previously approved collection 2026-02-09
202010-0938-008 Reinstatement without change of a previously approved collection 2020-10-13
201609-0938-019 Extension without change of a currently approved collection 2016-09-29 Approved without change
201308-0938-028 Reinstatement without change of a previously approved collection 2013-08-28 Approved without change
200910-0938-016 Revision of a currently approved collection 2009-10-30 Approved with change
200607-0938-008 Extension without change of a currently approved collection 2006-07-12 Approved without change
200210-0938-009 Extension without change of a currently approved collection 2002-10-31 Approved without change
199906-0938-003 Extension without change of a currently approved collection 1999-06-04 Approved without change
199607-0938-007 Revision of a currently approved collection 1996-07-19 Approved without change
199307-0938-004 Reinstatement with change of a previously approved collection 1993-07-26 Approved without change
199004-0938-005 Reinstatement with change of a previously approved collection 1990-04-06 Approved without change
198810-0938-004 Reinstatement with change of a previously approved collection 1988-10-04 Approved without change
198501-0938-013 Revision of a currently approved collection 1985-01-11 Approved without change
198308-0938-008 Extension without change of a currently approved collection 1983-08-25 Approved without change
198201-0938-004 Reinstatement with change of a previously approved collection 1982-01-29 Approved without change
198107-0938-011 No material or nonsubstantive change to a currently approved collection 1981-07-28 Approved with change
198101-0938-007 New collection (Request for a new OMB Control Number) 1981-01-28 Approved without change