OMB control number
Information Collection Requirements Referenced in HIPAA for the Individual Market, Supporting Regulations 45 CFR 148, and Forms/Instructions
OMB 0938-0703 · HHS/CMS.
OMB 0938-0703
Latest Forms, Documents, and Supporting Material
Document Name |
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Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Supplemental DOC R-205 WHCRA.doc
Supplemantal DOC R-205 Respondents Burden Hours Version2.xls
Information Collection Requirements Referenced in HIPAA for the Individual Market, Supporting Regulations 45 CFR 148, and Forms/Instructions (CMS-R-205) All Historical Document Collections
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Approved without change |
Extension without change of a currently approved collection | 2009-08-04 | |
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Approved without change |
Extension without change of a currently approved collection | 2006-05-31 | |
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Approved without change |
Revision of a currently approved collection | 2003-03-12 | |
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Approved without change |
No material or nonsubstantive change to a currently approved collection | 2000-02-28 | |
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Approved without change |
Revision of a currently approved collection | 1999-10-18 | |
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Approved without change |
Revision of a currently approved collection | 1998-12-17 | |
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Approved without change |
Extension without change of a currently approved collection | 1997-12-23 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1997-04-21 |