OMB control number

Medicare Integrity Program Organizational Conflict of Interest Disclosure Certificate and Supporting Regs at 42 CFR 421.300- 421.316

OMB 0938-0723 · HHS/CMS.

OMB 0938-0723

Latest Forms, Documents, and Supporting Material

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200512-0938-004 Extension without change of a currently approved collection 2005-12-07 Approved without change
200208-0938-002 Extension without change of a currently approved collection 2002-08-05 Approved without change
200101-0938-004 Extension without change of a currently approved collection 2001-01-25 Approved without change
199912-0938-005 Extension without change of a currently approved collection 1999-12-21 Approved without change
199803-0938-009 New collection (Request for a new OMB Control Number) 1998-03-27 Approved without change