OMB control number
Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest
OMB 0938-1231 · HHS/CMS.
OMB 0938-1231
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-855POH Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest | Form and Instruction |
 CMS-855(POH)_Supporting_Statement_Part_A(508).docx | Supporting Statement A |
 Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201311-0938-022 | New collection (Request for a new OMB Control Number) | 2013-11-18 | Approved without change |