OMB control number
Incentive Arrangement Disclosure Form and Supporting Regulations 42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 1003.106
OMB 0938-0700 · HHS/CMS.
OMB 0938-0700
Latest Forms, Documents, and Supporting Material
Incentive Arrangement Disclosure Form and Supporting Regulations 42 CFR 417.479, 417.500, 422.208, 422.210, 434.44, 434.67, 434.70, 1003.100, 1003.101, 1003.103, 1003.106 All Historical Document Collections
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Approved without change |
Reinstatement without change of a previously approved collection | 2000-12-01 | |
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Approved without change |
Revision of a currently approved collection | 1997-09-18 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 1997-02-19 |