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Federal forms, ICRs, and supporting documents

OMB control number

Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 (CMS-668B)

OMB 0938-0653 · HHS/CMS.

OMB 0938-0653

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-668B Private Sector - Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777Form and Instruction
Form CMS-668B State, Local, or Tribal Governments - Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777Form and Instruction
Form CMS-668B Federal Government - Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777Form and Instruction
CMS-668B - Supporting Statement 2015 .docSupporting Statement A
Private Sector - Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 Form and Instruction
State, Local, or Tribal Governments - Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 Form and Instruction
Federal Government - Post Cinical Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 493.1771, 483.1773, and 493.1777 Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201508-0938-008 Extension without change of a currently approved collection 2015-08-12 Approved without change
201204-0938-006 Extension without change of a currently approved collection 2012-04-27 Approved without change
200904-0938-008 Extension without change of a currently approved collection 2009-04-14 Approved without change
200605-0938-004 Extension without change of a currently approved collection 2006-05-15 Approved with change
200307-0938-009 Extension without change of a currently approved collection 2003-07-30 Approved without change
200006-0938-006 Revision of a currently approved collection 2000-06-14 Approved without change
199705-0938-003 Reinstatement with change of a previously approved collection 1997-05-23 Approved without change
199405-0938-005 New collection (Request for a new OMB Control Number) 1994-05-25 Approved without change