OMB control number
State Plan Pre-print to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288)
OMB 0938-1076 · HHS/CMS.
OMB 0938-1076
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10288 State Plan Preprint to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288) | Form and Instruction |
 CMS-10288 State Plan Pre-Print to Implement Required Dental Benefit Supporting Statement.doc | Supporting Statement A |
 State Plan Preprint to Implement Required Dental Benefits Pursuant of CHIPRA 2009 (CMS-10288) |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200910-0938-007 | New collection (Request for a new OMB Control Number) | 2009-10-21 | Approved without change |