OMB control number

The Long Term Care Request For Certification

OMB 0938-0478 · HHS/CMS.

OMB 0938-0478

Latest Forms, Documents, and Supporting Material

Document Name
THE LONG TERM CARE REQUEST FOR CERTIFICATION Form

All Historical Document Collections

198908-0938-001 Approved without change	Reinstatement with change of a previously approved collection	1989-08-03
198904-0938-035 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-12
198604-0938-002 Approved without change	New collection (Request for a new OMB Control Number)	1986-04-07