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Federal forms, ICRs, and supporting documents

OMB control number

[Medicaid] Limitations on Provider Related Donations and Health Care Related Taxes; Medicaid and Supporting Regulations in 42 CFR 433.68 and 433.74 (CMS-R-148)

OMB 0938-0618 · HHS/CMS.

OMB 0938-0618

This information collection is necessary to ensure compliance with Sections 1903 and 1923 of the Social Security Act for the purpose of preventing payment of FFP on amounts prohibited by statute.

The latest form for [Medicaid] Limitations on Provider Related Donations and Health Care Related Taxes; Medicaid and Supporting Regulations in 42 CFR 433.68 and 433.74 (CMS-R-148) expires 2029-06-30 and is listed under ICR 202602-0938-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CMS-R-148 - Supporting Statement A (CMS-2448-F version 9) clean_508.docxSupporting Statement A
Limitations on Provider Related Donations and Health Care Related Taxes, etc. Information collection
Waiver Documentation (§ 433.68) Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202602-0938-001 Revision of a currently approved collection 2026-02-17
202509-0938-013 Revision of a currently approved collection 2025-09-15
202405-0938-004 Extension without change of a currently approved collection 2024-05-03
202102-0938-010 Extension without change of a currently approved collection 2021-02-09 Approved without change
202006-0938-013 Revision of a currently approved collection 2020-06-17 Comment filed on proposed rule and continue
201709-0938-004 Extension without change of a currently approved collection 2017-09-26 Approved without change
201408-0938-008 Extension without change of a currently approved collection 2014-08-28 Approved without change
201104-0938-007 Extension without change of a currently approved collection 2011-04-27 Approved with change
200804-0938-002 Extension without change of a currently approved collection 2008-04-06 Approved without change
200502-0938-005 Reinstatement without change of a previously approved collection 2005-02-08 Approved without change
200111-0938-002 Extension without change of a currently approved collection 2001-11-21 Approved without change
199807-0938-009 Extension without change of a currently approved collection 1998-07-20 Approved without change
199503-0938-009 Reinstatement with change of a previously approved collection 1995-03-27 Approved without change
199208-0938-009 New collection (Request for a new OMB Control Number) 1992-08-27 Approved without change

OMB Details

Limitations on Provider Related Donations and Health Care Related Taxes, etc.

Federal Enterprise Architecture: Health - Health Care Services