OMB control number
Analysis of Transportation Barriers to Utilization of Medicare Services by American Indian and Alaska Native Medicare Beneficiaries
OMB 0938-1182 · HHS/CMS.
OMB 0938-1182
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10399 Survey | Form and Instruction |
| CMS-10399 Supporting Statement Part B v5 CLEAN_rev10-15-12.pdf | Supporting Statement B |
| CMS Transportation Barriers Crosswalk.pdf | Supplementary Document |
| CMS-10399 Supporting Statement Part A v5 CLEAN_rev_10-15-12.pdf | Supporting Statement A |
 Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201204-0938-005 | New collection (Request for a new OMB Control Number) | 2012-04-26 | Approved with change |