OMB control number

Ambulatory Surgical Center Payment Rate Survey

OMB 0938-0434 · HHS/CMS.

OMB 0938-0434

Latest Forms, Documents, and Supporting Material

Document Name
AMBULATORY SURGICAL CENTER PAYMENT RATE SURVEY Form

All Historical Document Collections

199312-0938-001 Approved without change	Revision of a currently approved collection	1993-12-10
199304-0938-005 Approved without change	Reinstatement with change of a previously approved collection	1993-04-19
199106-0938-007 Approved without change	Reinstatement with change of a previously approved collection	1991-06-26
198506-0938-014 Approved without change	New collection (Request for a new OMB Control Number)	1985-06-26