OMB control number

Post-Certification Revisit Report

OMB 0938-0390 · HHS/CMS.

OMB 0938-0390

Latest Forms, Documents, and Supporting Material

Document Name
Post-Certification Revisit Report Form

All Historical Document Collections

199606-0938-009 Approved without change	Reinstatement without change of a previously approved collection	1996-06-20
199207-0938-003 Approved without change	Reinstatement with change of a previously approved collection	1992-07-06
198711-0938-003 Approved without change	Revision of a currently approved collection	1987-11-03
198409-0938-004 Approved without change	New collection (Request for a new OMB Control Number)	1984-09-14