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All Historical Document Collections
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Approved without change |
Extension without change of a currently approved collection | 2001-07-19 | |
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Approved without change |
Revision of a currently approved collection | 1998-07-20 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1998-03-11 |