OMB control number
Evaluation of Practice Models for Dual Eligibles and Medicare Beneficiaries with Serious Chronic Conditions
OMB 0938-1120 · HHS/CMS.
OMB 0938-1120
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10356 In-person Discussions | Form and Instruction |
| Form CMS-10356 Pre-site Discussions | Form and Instruction |
 CMS-10356.Emergency Justification(1-21-11).docx | Supplementary Document |
| CMS-10356.Supporting Statement Part B (1-14-11).docx | Supporting Statement B |
| CMS-10356.Duals_ProjectDescription_FieldWork.doc | Supplementary Document |
| CMS-10356.Duals_SiteVisitInvitationPACE_Final.doc | Supplementary Document |
| CMS-10356.Emergency Justification.docx | Supplementary Document |
| CMS-10356.Duals_SiteVisitGenericInvitation.doc | Supplementary Document |
| CMS-10356.REVISED - Supporting Statement Part A (1-14-11).docx | Supporting Statement A |
 In-person Discussions |
Form and Instruction |
| Pre-site Discussions |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201011-0938-014 | New collection (Request for a new OMB Control Number) | 2010-11-26 | Approved with change |