OMB control number

Survey Of Self Insured Plans

OMB 0938-0389 · HHS/CMS.

OMB 0938-0389

Latest Forms, Documents, and Supporting Material

Document Name
SURVEY OF SELF INSURED PLANS Form

All Historical Document Collections

198809-0938-001 Approved without change	Extension without change of a currently approved collection	1988-09-29
198507-0938-012 Approved without change	Reinstatement with change of a previously approved collection	1985-07-17
198502-0938-016 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-02-28
198409-0938-014 Approved without change	New collection (Request for a new OMB Control Number)	1984-09-14