OMB control number

Report On Provider Participation In The Medicaid Program

OMB 0938-0262 · HHS/CMS.

OMB 0938-0262

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
REPORT ON PROVIDER PARTICIPATION IN THE MEDICAID PROGRAM Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
198507-0938-011 Reinstatement without change of a previously approved collection 1985-07-03 Disapproved
198308-0938-011 Extension without change of a currently approved collection 1983-08-25 Approved without change
198207-0938-003 New collection (Request for a new OMB Control Number) 1982-07-19 Approved without change