OMB control number
Medicaid State Agency Third Party Liability Inventory Form
OMB 0938-0414 · HHS/CMS.
OMB 0938-0414
Latest Forms, Documents, and Supporting Material
MEDICAID STATE AGENCY THIRD PARTY LIABILITY INVENTORY FORM All Historical Document Collections
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1991-05-07 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 1990-12-14 | |
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Approved without change |
Revision of a currently approved collection | 1989-07-25 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1989-05-04 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1989-04-18 | |
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Approved with change |
No material or nonsubstantive change to a currently approved collection | 1989-04-07 | |
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Approved without change |
Revision of a currently approved collection | 1986-06-27 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1985-03-19 |