Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53

OMB 0938-0429

OMB 0938-0429
Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supporting Statement A
All Historical Document Collections
Approved without change
 Revision of a currently approved collection 2010-10-27
Approved without change
 Extension without change of a currently approved collection 2007-07-25
Approved without change
 Extension without change of a currently approved collection 2004-05-03
Approved without change
 Extension without change of a currently approved collection 2001-02-08
Approved without change
 Extension without change of a currently approved collection 1998-02-25
Approved without change
 Reinstatement without change of a previously approved collection 1995-03-10
Approved without change
 Reinstatement with change of a previously approved collection 1991-11-21
Approved without change
 Reinstatement with change of a previously approved collection 1988-07-19
Approved without change
 New collection (Request for a new OMB Control Number) 1985-05-16
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