OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24 (R-142)

OMB 0938-0667 · HHS/CMS.

OMB 0938-0667

This collection contains the requirements for hospitals in effort to prevent them from inappropriately transferring individuals with emergency medical conditions, as mandated by Congress. CMS uses this information to help assure compliance with this mandate. This information is not contained elsewhere in regulations.

The latest form for Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24 (R-142) expires 2023-08-31 and is listed under ICR 202006-0938-016.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CMS-R-142_Supporting_Statement_Part_A_.pdfSupporting Statement A
Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24, & HCFA-1005-IFC, PPS for Hospital Outpatient Services,... Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202006-0938-016 Reinstatement with change of a previously approved collection 2020-07-06 Approved without change
201701-0938-001 Reinstatement without change of a previously approved collection 2017-01-09 Approved with change
201608-0938-017 Reinstatement without change of a previously approved collection 2016-09-27 Improperly submitted
201305-0938-017 Extension without change of a currently approved collection 2013-05-22 Approved without change
201004-0938-009 Extension without change of a currently approved collection 2010-04-26 Approved without change
200701-0938-011 Extension without change of a currently approved collection 2007-01-12 Approved without change
200310-0938-008 Revision of a currently approved collection 2003-10-16 Approved without change
200208-0938-016 Revision of a currently approved collection 2002-08-29 Approved with change
200107-0938-012 Extension without change of a currently approved collection 2001-07-26 Approved without change
199807-0938-004 Extension without change of a currently approved collection 1998-07-10 Approved without change
199708-0938-007 Extension without change of a currently approved collection 1997-08-25 Approved without change
199605-0938-003 Reinstatement with change of a previously approved collection 1996-05-07 Approved without change
199601-0938-002 Extension without change of a currently approved collection 1996-01-26 Approved without change
199410-0938-018 New collection (Request for a new OMB Control Number) 1994-10-31 Approved without change