OMB control number
State Plan Amendment Template for Transitional Medical Assistance for Low-Income Families (CMS-10283)
OMB 0938-1070 · HHS/CMS.
OMB 0938-1070
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10283 State Plan Amendment Template for Transitional Medical Assistance for Low-Income Families (CMS-10283) | Form and Instruction |
 CMS-10283 Supporting Statement for TMA.doc | Supporting Statement A |
 State Plan Amendment Template for Transitional Medical Assistance for Low-Income Families (CMS-10283) |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200909-0938-003 | New collection (Request for a new OMB Control Number) | 2009-09-11 | Approved without change |