OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Attending Physician's Certification of Medical Necessity for Home Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and 42 CFR 424.5

OMB 0938-0534 · HHS/CMS.

OMB 0938-0534

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-484 Attending Physician's Certification of Medical Necessity for Home Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and 42 CFR 424.5Form and Instruction
CMS-484 - Supporting Statement Part 11717.docxSupporting Statement A
Attending Physician's Certification of Medical Necessity for Home Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and 42 CFR 424.5 Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201605-0938-011 Revision of a currently approved collection 2016-05-11 Approved with change
201501-0938-007 No material or nonsubstantive change to a currently approved collection 2015-01-26 Approved without change
201410-0938-006 No material or nonsubstantive change to a currently approved collection 2014-10-09 Approved without change
201303-0938-014 Reinstatement without change of a previously approved collection 2013-03-21 Approved without change
200810-0938-002 Revision of a currently approved collection 2008-10-01 Approved with change
200502-0938-002 Revision of a currently approved collection 2005-02-02 Approved with change
200303-0938-013 Extension without change of a currently approved collection 2003-03-25 Approved with change
200209-0938-002 Extension without change of a currently approved collection 2002-09-11 Approved with change
199907-0938-004 Extension without change of a currently approved collection 1999-07-07 Approved without change
199712-0938-004 Extension without change of a currently approved collection 1997-12-23 Approved without change
199704-0938-005 Reinstatement with change of a previously approved collection 1997-04-29 Approved without change
199302-0938-011 Revision of a currently approved collection 1993-02-22 Approved without change
199207-0938-009 Reinstatement with change of a previously approved collection 1992-07-06 Approved without change
199003-0938-006 Revision of a currently approved collection 1990-03-26 Approved without change
198901-0938-002 New collection (Request for a new OMB Control Number) 1989-01-04 Approved without change