OMB control number

Request To Adjust Customary Charge Screen

OMB 0938-0206 ยท HHS/CMS.

OMB 0938-0206

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
REQUEST TO ADJUST CUSTOMARY CHARGE SCREEN Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
198504-0938-006 Revision of a currently approved collection 1985-04-10 Approved without change
198501-0938-002 Reinstatement with change of a previously approved collection 1985-01-24 Approved without change
198402-0938-003 Reinstatement with change of a previously approved collection 1984-02-29 Approved without change
198111-0938-010 New collection (Request for a new OMB Control Number) 1981-11-19 Approved without change