OMB control number
Surveys of Physicians and Home Health Agencies to Assess Access Issues for Specific Medicare Beneficiaries as Defined in Section 3131(d) of the ACA
OMB 0938-1183 · HHS/CMS.
OMB 0938-1183
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10429 (Home Health Agencies) Survey of Access to Home Health Services for Medicare Beneficiaries | Form |
| Supporting Statement PartB REVISED 11-19-12.pdf | Supporting Statement B |
| Supporting Statement PartA REVISED 11-19-2012.pdf | Supporting Statement A |
 (Home Health Agencies) Survey of Access to Home Health Services for Medicare Beneficiaries |
Form |
| (Physician) Survey of Access to Home Health Services for Medicare Beneficiaries |
Other-Post Card |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201206-0938-009 | New collection (Request for a new OMB Control Number) | 2012-06-27 | Approved with change |