OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53

OMB 0938-0429 · HHS/CMS.

OMB 0938-0429

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-R-53 Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 Form
CMS-R-0053_Supporting_Statement.doc Supporting Statement A
Imposition of Cost Sharing Charges Under Medicaid and Supporting Regulations contained in 42 CFR Section 447.53 Form

All Historical Document Collections

201010-0938-007 Approved without change	Revision of a currently approved collection	2010-10-27
200707-0938-009 Approved without change	Extension without change of a currently approved collection	2007-07-25
200405-0938-003 Approved without change	Extension without change of a currently approved collection	2004-05-03
200102-0938-001 Approved without change	Extension without change of a currently approved collection	2001-02-08
199802-0938-008 Approved without change	Extension without change of a currently approved collection	1998-02-25
199503-0938-007 Approved without change	Reinstatement without change of a previously approved collection	1995-03-10
199111-0938-004 Approved without change	Reinstatement with change of a previously approved collection	1991-11-21
198807-0938-003 Approved without change	Reinstatement with change of a previously approved collection	1988-07-19
198505-0938-002 Approved without change	New collection (Request for a new OMB Control Number)	1985-05-16