OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI)

OMB 0938-0575 · HHS/CMS.

OMB 0938-0575

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-R-143 Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI) Form and Instruction
Form CMS-R-143 Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI) Form and Instruction
CMS-R-143.Supporting Statement (2006).doc Supporting Statement A
Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI) Form and Instruction
Medicare Physician Fee Schedule Geographic Practice Expense Index (GPCI) Form and Instruction

All Historical Document Collections

200610-0938-007 Approved with change	Extension without change of a currently approved collection	2006-10-16
200306-0938-003 Approved without change	Extension without change of a currently approved collection	2003-06-04
200003-0938-003 Approved without change	Extension without change of a currently approved collection	2000-03-09
199701-0938-003 Approved without change	Extension without change of a currently approved collection	1997-01-23
199401-0938-003 Approved without change	Revision of a currently approved collection	1994-01-31
199012-0938-011 Approved without change	New collection (Request for a new OMB Control Number)	1990-12-28