OMB control number

State Medicaid Manual, Part 3, On Assignment Of Rights

OMB 0938-0428 · HHS/CMS.

OMB 0938-0428

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
STATE MEDICAID MANUAL, PART 3, ON ASSIGNMENT OF RIGHTS Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
198505-0938-001 New collection (Request for a new OMB Control Number) 1985-05-07 Approved without change