OMB control number

Federally Qualified Health Center (FQHC) Survey

OMB 0938-0693 · HHS/CMS.

OMB 0938-0693

Latest Forms, Documents, and Supporting Material

Document Name
Federally Qualified Health Center (FQHC) Survey Form

All Historical Document Collections

199612-0938-003 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-12-31
199607-0938-009 Approved without change	New collection (Request for a new OMB Control Number)	1996-07-25