OMB control number

Provider Chain Operator Data

OMB 0938-0039 · HHS/CMS.

OMB 0938-0039

Latest Forms, Documents, and Supporting Material

Document Name
PROVIDER CHAIN OPERATOR DATA Form

All Historical Document Collections

198107-0938-003 Disapproved	Reinstatement without change of a previously approved collection	1981-07-06
198102-0938-020 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-02-27
197602-0938-001 Approved without change	Extension without change of a currently approved collection	1976-02-04