OMB control number

Medicare+Choice Provider Sponsored Organization Waiver Request Form and Supporting Regulations at 42 CFR 422.370 through 422.378

OMB 0938-0722 · HHS/CMS.

OMB 0938-0722

Latest Forms, Documents, and Supporting Material

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200107-0938-008 Extension without change of a currently approved collection 2001-07-19 Approved without change
199807-0938-008 Revision of a currently approved collection 1998-07-20 Approved without change
199803-0938-005 New collection (Request for a new OMB Control Number) 1998-03-11 Approved without change