OMB control number

Medicare Agreement Application, Health Care Prepayment Plan and Supporting Regulations in 42 CFR, Section 417.800-.840

OMB 0938-0768 · HHS/CMS.

OMB 0938-0768

Latest Forms, Documents, and Supporting Material

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200208-0938-009 Extension without change of a currently approved collection 2002-08-20 Approved without change
199905-0938-004 New collection (Request for a new OMB Control Number) 1999-05-06 Approved without change