OMB control number
States adoption of Healthcare Common Procedure Coding System codes (H0049) and (H0050) and assessment of support provided by the Centers for Medicare & Medicaid Services
OMB 3201-0015 · ONDCP.
OMB 3201-0015
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 1 HCPCS Alcohol and Drug Screening and Brief Intervention Survey | Form and Instruction |
| Supporting Statement B - HCPCS.doc | Supporting Statement B |
| Supporting Statement A - HCPCS.doc | Supporting Statement A |
 HCPCS Alcohol and Drug Screening and Brief Intervention Survey |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200807-3201-001 | New collection (Request for a new OMB Control Number) | 2008-07-31 | Approved without change | |
| 200805-3201-001 | New collection (Request for a new OMB Control Number) | 2008-06-25 | Improperly submitted |