OMB control number

Referral And Treatment Plan

OMB 0938-0036 · HHS/CMS.

OMB 0938-0036

Latest Forms, Documents, and Supporting Material

Document Name
REFERRAL AND TREATMENT PLAN Form

All Historical Document Collections

198211-0938-004 Approved without change	Reinstatement with change of a previously approved collection	1982-11-09
198203-0938-002 Approved without change	Revision of a currently approved collection	1982-03-19
197703-0938-002 Approved without change	Revision of a currently approved collection	1977-03-23
197701-0938-001 Approved without change	Reinstatement without change of a previously approved collection	1977-01-17
197601-0938-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1976-01-10