OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Disclosure of Ownership and Financial Control Interest Statement and Supporting Regulations Contained in 42 CFR 420.200-.206 and 455.100-.106

OMB 0938-0086 · HHS/CMS.

OMB 0938-0086
Latest Forms, Documents, and Supporting Material
Document
Name
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2005-10-06
Approved without change
 Extension without change of a currently approved collection 2002-07-30
Approved without change
 Extension without change of a currently approved collection 1999-03-15
Approved without change
 Reinstatement with change of a previously approved collection 1997-11-04
Approved without change
 Reinstatement without change of a previously approved collection 1996-04-30
Approved without change
 Extension without change of a currently approved collection 1993-11-22
Approved without change
 Reinstatement with change of a previously approved collection 1991-08-29
Approved without change
 Extension without change of a currently approved collection 1989-03-20
Approved without change
 Revision of a currently approved collection 1986-05-19
Approved without change
 Reinstatement with change of a previously approved collection 1984-08-06
Approved without change
 Extension without change of a currently approved collection 1983-03-25
Approved without change
 New collection (Request for a new OMB Control Number) 1979-02-22