OMB control number
Current State Practices Related to Payments to Providers for Health Care-Acquired Conditions
OMB 0938-1122 · HHS/CMS.
OMB 0938-1122
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10335 HCAC Survey | Form and Instruction |
 CMS-10335.Supporting Statement - Part B.doc | Supporting Statement B |
| CMS-10335 Supporting Statement - Part A.doc | Supporting Statement A |
 HCAC Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201101-0938-001 | New collection (Request for a new OMB Control Number) | 2011-01-05 | Approved without change |