OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Incentive Arrangement Disclosure Form and Supporting Regulations 42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 1003.106

OMB 0938-0700 · HHS/CMS.

OMB 0938-0700

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Incentive Arrangement Disclosure Form and Supporting Regulations 42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 1003.106 Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200012-0938-002 Reinstatement without change of a previously approved collection 2000-12-01 Approved without change
199709-0938-011 Revision of a currently approved collection 1997-09-18 Approved without change
199702-0938-003 New collection (Request for a new OMB Control Number) 1997-02-19 Approved without change