OMB control number
Contractors' Information Collection-- "state Medicaid Agency Verification Of Services Received"
OMB 0938-0231 · HHS/CMS.
OMB 0938-0231
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CONTRACTORS' INFORMATION COLLECTION-- "STATE MEDICAID AGENCY VERIFICATION OF SERVICES RECEIVED" |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198112-0938-014 | New collection (Request for a new OMB Control Number) | 1981-12-04 | Approved without change |