The Application for Federal Qualification (CMS 901A) Regulations in 42 CFR Section 417.140 and the Medicare Health Care Prepayment Plan Application (CMS 901D) in 42 CFR 417.800.

OMB 0938-0470

OMB 0938-0470
Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2010-08-06
Approved without change
 Revision of a currently approved collection 2007-04-15
Approved with change
 Revision of a currently approved collection 2003-11-26
Approved without change
 Revision of a currently approved collection 2000-09-01
Approved without change
 Reinstatement without change of a previously approved collection 1997-09-03
Approved without change
 Reinstatement with change of a previously approved collection 1994-07-14
Approved without change
 Reinstatement with change of a previously approved collection 1993-10-18
Approved without change
 Reinstatement with change of a previously approved collection 1991-04-17
Approved without change
 Reinstatement with change of a previously approved collection 1988-08-05
Approved with change
 No material or nonsubstantive change to a currently approved collection 1987-08-12
Approved with change
 No material or nonsubstantive change to a currently approved collection 1986-08-01
Approved without change
 Revision of a currently approved collection 1986-04-22
© 2024 OMB.report | Privacy Policy