OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38)

OMB 0938-0334 · HHS/CMS.

OMB 0938-0334

This information is needed to determine if rural health clinics and federally qualified health centers meet the requirements to participate in the Medicare Program.

The latest form for Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38) expires 2027-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
 Revision of a currently approved collection 2024-10-07
Revision of a currently approved collection 2024-08-16
Approved without change
 Reinstatement without change of a previously approved collection 2024-06-12
Approved with change
 Revision of a currently approved collection 2020-02-21
Comment filed on proposed rule and continue
 Revision of a currently approved collection 2018-11-07
Approved with change
 Extension without change of a currently approved collection 2017-01-31
Approved without change
 Reinstatement with change of a previously approved collection 2013-09-19
Approved without change
 Extension without change of a currently approved collection 2009-09-17
Approved without change
 Extension without change of a currently approved collection 2006-09-26
Approved with change
 Extension without change of a currently approved collection 2003-06-19
Approved without change
 Extension without change of a currently approved collection 2000-02-10
Approved without change
 Extension without change of a currently approved collection 1997-02-24
Approved without change
 Reinstatement with change of a previously approved collection 1994-03-17
Approved with change
 No material or nonsubstantive change to a currently approved collection 1994-01-03
Approved without change
 Reinstatement with change of a previously approved collection 1992-07-31
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-04-18
Approved without change
 Revision of a currently approved collection 1989-04-24
Approved without change
 Reinstatement with change of a previously approved collection 1986-02-12
Approved without change
 Revision of a currently approved collection 1984-06-28
Approved without change
 New collection (Request for a new OMB Control Number) 1983-12-07
OMB Details

491.9(b) Patient Care Policies - New RHCs

Federal Enterprise Architecture: Health - Health Care Services