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Home Office Cost Statement (CMS-287-22)
OMB 0938-0202
OMB.report
HHS/CMS
OMB 0938-0202
OMB 0938-0202
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-287-21 Home Office Cost Statement and Supporting Regulations in 42 CFR 413.17 and 413.20 (CMS-287-21)
Form
Supporting Statement-CMS-287-22.docx
Supporting Statement A
Crosswalk-287-22.pdf
Supplementary Document
Home Office Cost Statement and Supporting Regulations in 42 CFR 413.17 and 413.20 (CMS-287-21)
Form
All Historical Document Collections
202408-0938-039
Extension without change of a currently approved collection
2024-08-29
202012-0938-018
Reinstatement with change of a previously approved collection
2020-12-24
201410-0938-012
Approved without change
Reinstatement without change of a previously approved collection
2014-10-17
201106-0938-005
Approved without change
Extension without change of a currently approved collection
2011-06-08
200804-0938-005
Approved without change
Extension without change of a currently approved collection
2008-04-29
200504-0938-011
Approved without change
Extension without change of a currently approved collection
2005-04-29
200204-0938-001
Approved without change
Extension without change of a currently approved collection
2002-04-05
199903-0938-001
Approved without change
Extension without change of a currently approved collection
1999-03-05
199605-0938-004
Approved without change
Extension without change of a currently approved collection
1996-05-08
199304-0938-001
Approved without change
Reinstatement with change of a previously approved collection
1993-04-05
199206-0938-007
Approved without change
Revision of a currently approved collection
1992-06-17
199107-0938-008
Approved without change
Reinstatement with change of a previously approved collection
1991-07-23
198910-0938-002
Approved without change
Reinstatement with change of a previously approved collection
1989-10-27
198708-0938-011
Approved with change
No material or nonsubstantive change to a currently approved collection
1987-08-07
198606-0938-005
Approved without change
Reinstatement with change of a previously approved collection
1986-06-16
198410-0938-016
Approved with change
No material or nonsubstantive change to a currently approved collection
1984-10-29
198303-0938-002
Approved without change
Revision of a currently approved collection
1983-03-11
198111-0938-005
Approved without change
New collection (Request for a new OMB Control Number)
1981-11-19
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