OMB control number

Agency Characteristics Form For The National Home Health Agency Prospective Payment Demonstration

OMB 0938-0569 · HHS/CMS.

OMB 0938-0569

Latest Forms, Documents, and Supporting Material

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
199311-0938-004 Reinstatement with change of a previously approved collection 1993-11-08 Approved without change
199008-0938-005 New collection (Request for a new OMB Control Number) 1990-08-08 Approved without change