OMB control number

Early Periodic Screening Diagnostic And Treatment (epsdt) Report

OMB 0938-0291 · HHS/CMS.

OMB 0938-0291

Latest Forms, Documents, and Supporting Material

Document Name
EARLY PERIODIC SCREENING DIAGNOSTIC AND TREATMENT (EPSDT) REPORT Form

All Historical Document Collections

198707-0938-006 Approved without change	Extension without change of a currently approved collection	1987-07-14
198507-0938-007 Approved without change	Revision of a currently approved collection	1985-07-17
198408-0938-023 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-08-13
198305-0938-004 Approved without change	New collection (Request for a new OMB Control Number)	1983-05-24