OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations in 42 CFR 413.20, 413.24, and 415.60 (CMS-339)

OMB 0938-0301 · HHS/CMS.

OMB 0938-0301
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Form and Instruction
Supporting Statement A
All Historical Document Collections
Approved without change
 Reinstatement with change of a previously approved collection 2017-04-20
Improperly submitted
 Reinstatement without change of a previously approved collection 2016-11-23
Approved without change
 Reinstatement without change of a previously approved collection 2013-05-20
Approved without change
 Reinstatement without change of a previously approved collection 2009-03-10
Approved without change
 No material or nonsubstantive change to a currently approved collection 2006-04-25
Approved with change
 Revision of a currently approved collection 2005-09-16
Approved without change
 Revision of a currently approved collection 2002-08-29
Approved without change
 Reinstatement without change of a previously approved collection 2002-03-29
Approved without change
 Extension without change of a currently approved collection 2001-07-05
Approved without change
 Extension without change of a currently approved collection 1998-05-07
Approved with change
 No material or nonsubstantive change to a currently approved collection 1997-02-22
Approved without change
 Revision of a currently approved collection 1995-05-15
Approved without change
 Extension without change of a currently approved collection 1994-06-30
Approved with change
 No material or nonsubstantive change to a currently approved collection 1994-03-11
Approved without change
 Revision of a currently approved collection 1993-06-11
Approved without change
 Revision of a currently approved collection 1990-06-25
Approved without change
 Revision of a currently approved collection 1988-11-22
Approved without change
 Revision of a currently approved collection 1985-10-11
Approved without change
 New collection (Request for a new OMB Control Number) 1983-08-18