OMB control number
Payments for Services Furnished by Certain Primary Care Providers and Supporting Regulations in 42 CFR 438.6, 438.804, 447.400, and 447.410 (CMS-10422)
OMB 0938-1170 · HHS/CMS.
OMB 0938-1170
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10422 State Plan Requirements - Amending FFS Rate | Form |
 Responses to Comments Received.docx | Supplementary Document |
 CMS-10422 - Supporting Statement part A [rev 11-18-2014 by OSORA PRA].doc | Supporting Statement A |
 Primary Care Provider Payment Increases |
Information collection |
| State Plan Requirements - Amending FFS Rate |
Form |
| Primary Care Services Furnished by Physicians with a Specified Specialty or Subspeciality |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201411-0938-009 | Revision of a currently approved collection | 2014-11-19 | Withdrawn and continue | |
| 201211-0938-002 | New collection (Request for a new OMB Control Number) | 2012-11-13 | Approved without change | |
| 201205-0938-003 | New collection (Request for a new OMB Control Number) | 2012-05-16 | Comment filed on proposed rule |