OMB control number
Medicaid State Agency Third Party Liability Inventory Form
OMB 0938-0414 · HHS/CMS.
OMB 0938-0414
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 MEDICAID STATE AGENCY THIRD PARTY LIABILITY INVENTORY FORM |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 199105-0938-020 | No material or nonsubstantive change to a currently approved collection | 1991-05-07 | Approved with change | |
| 199012-0938-006 | Reinstatement with change of a previously approved collection | 1990-12-14 | Approved without change | |
| 198907-0938-009 | Revision of a currently approved collection | 1989-07-25 | Approved without change | |
| 198905-0938-008 | No material or nonsubstantive change to a currently approved collection | 1989-05-04 | Approved with change | |
| 198904-0938-041 | No material or nonsubstantive change to a currently approved collection | 1989-04-18 | Approved with change | |
| 198904-0938-027 | No material or nonsubstantive change to a currently approved collection | 1989-04-07 | Approved with change | |
| 198606-0938-016 | Revision of a currently approved collection | 1986-06-27 | Approved without change | |
| 198503-0938-021 | New collection (Request for a new OMB Control Number) | 1985-03-19 | Approved without change |