OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Social Security Office (SSO) Report of State Buy-in Problems (CMS-1957)

OMB 0938-0035 · HHS/CMS.

OMB 0938-0035

The CMS-1957 is issued to facilitate communications among the Social Security District Offices, Medicaid State Agencies and CMS Central Office in the resolution of beneficiary entitlement under State Buy-in. It's used when a problem arises which cannot be resolved through the normal data exchange.

The latest form for Social Security Office (SSO) Report of State Buy-in Problems (CMS-1957) expires 2026-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supporting Statement A
All Historical Document Collections
Approved without change
 Reinstatement without change of a previously approved collection 2022-12-07
Approved without change
 Reinstatement without change of a previously approved collection 2019-08-29
Approved without change
 No material or nonsubstantive change to a currently approved collection 2018-08-24
Approved with change
 Extension without change of a currently approved collection 2016-05-12
Approved without change
 Reinstatement without change of a previously approved collection 2013-05-16
Approved without change
 Reinstatement without change of a previously approved collection 2009-12-10
Approved without change
 Extension without change of a currently approved collection 2006-06-21
Approved without change
 Extension without change of a currently approved collection 2003-05-14
Approved without change
 Extension without change of a currently approved collection 2000-04-26
Approved without change
 No material or nonsubstantive change to a currently approved collection 1997-06-24
Approved without change
 Reinstatement without change of a previously approved collection 1997-03-28
Approved without change
 Reinstatement with change of a previously approved collection 1993-09-08
Approved without change
 Reinstatement with change of a previously approved collection 1990-06-18
Approved without change
 Revision of a currently approved collection 1986-04-16
Approved without change
 Revision of a currently approved collection 1983-04-26
Approved with change
 No material or nonsubstantive change to a currently approved collection 1978-08-04
Approved without change
 Revision of a currently approved collection 1978-06-16
Approved with change
 No material or nonsubstantive change to a currently approved collection 1978-02-01
Approved with change
 No material or nonsubstantive change to a currently approved collection 1977-12-06
Approved without change
 Revision of a currently approved collection 1977-10-14