OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medical Records Review Under PPS and Supporting Regulations at 42 CFR 412.40-412.52

OMB 0938-0359 · HHS/CMS.

OMB 0938-0359
Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
Approved without change
 Reinstatement without change of a previously approved collection 2008-05-02
Approved without change
 Extension without change of a currently approved collection 2005-02-07
Approved without change
 Extension without change of a currently approved collection 2002-02-07
Approved without change
 Extension without change of a currently approved collection 1998-12-22
Approved without change
 Reinstatement without change of a previously approved collection 1996-02-05
Approved without change
 Reinstatement with change of a previously approved collection 1992-09-01
Approved without change
 Reinstatement with change of a previously approved collection 1988-01-21
Approved without change
 Reinstatement with change of a previously approved collection 1986-09-17
Approved without change
 New collection (Request for a new OMB Control Number) 1984-06-25