OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicaid - Determining Third Party Liability (TPL) State Plan Preprint and Supporting Regulation in 42 CFR 433.138 (CMS-R-107)

OMB 0938-0502 · HHS/CMS.

OMB 0938-0502
Latest Forms, Documents, and Supporting Material
Document
Name
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2009-03-30
Approved without change
 Extension without change of a currently approved collection 2006-01-06
Approved without change
 Reinstatement without change of a previously approved collection 2002-11-21
Approved without change
 Extension without change of a currently approved collection 1999-08-11
Approved without change
 Extension without change of a currently approved collection 1996-08-06
Approved without change
 Reinstatement with change of a previously approved collection 1993-06-11
Approved without change
 Reinstatement with change of a previously approved collection 1990-12-31
Approved without change
 New collection (Request for a new OMB Control Number) 1987-03-16