OMB control number
Medicaid Quality Control Third Party Resource Worksheet (hcfa 301c) - (addendum) Third Party Liability Review Worksheet (hcfa-301d)
OMB 0938-0108 · HHS/CMS.
OMB 0938-0108
Latest Forms, Documents, and Supporting Material
MEDICAID QUALITY CONTROL THIRD PARTY RESOURCE WORKSHEET (HCFA 301C) - (ADDENDUM) THIRD PARTY LIABILITY REVIEW WORKSHEET (HCFA-301D) All Historical Document Collections
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Approved without change |
Reinstatement with change of a previously approved collection | 1983-08-10 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1983-05-18 | |
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Approved without change |
Revision of a currently approved collection | 1982-06-30 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1982-01-29 | |
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Approved without change |
Revision of a currently approved collection | 1980-08-04 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1980-05-29 |