OMB control number
Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138 (CMS-R-107)
OMB 0938-0502 · HHS/CMS.
OMB 0938-0502
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 CMS-R-107 Supporting Statement.doc | Supporting Statement A |
 Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138 |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200903-0938-010 | Extension without change of a currently approved collection | 2009-03-30 | Approved without change | |
| 200601-0938-006 | Extension without change of a currently approved collection | 2006-01-06 | Approved without change | |
| 200211-0938-002 | Reinstatement without change of a previously approved collection | 2002-11-21 | Approved without change | |
| 199908-0938-004 | Extension without change of a currently approved collection | 1999-08-11 | Approved without change | |
| 199608-0938-002 | Extension without change of a currently approved collection | 1996-08-06 | Approved without change | |
| 199306-0938-008 | Reinstatement with change of a previously approved collection | 1993-06-11 | Approved without change | |
| 199012-0938-009 | Reinstatement with change of a previously approved collection | 1990-12-31 | Approved without change | |
| 198703-0938-012 | New collection (Request for a new OMB Control Number) | 1987-03-16 | Approved without change |