OMB control number
Hospice Cost Report And Data Form
OMB 0938-0392 ยท HHS/CMS.
OMB 0938-0392
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 HOSPICE COST REPORT AND DATA FORM |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198903-0938-001 | Reinstatement with change of a previously approved collection | 1989-03-02 | Approved without change | |
| 198901-0938-001 | Reinstatement without change of a previously approved collection | 1989-01-11 | Improperly submitted | |
| 198607-0938-004 | Reinstatement with change of a previously approved collection | 1986-07-25 | Approved without change | |
| 198409-0938-010 | New collection (Request for a new OMB Control Number) | 1984-09-17 | Approved without change |