OMB control number

Health Insurance Flexibility and Accountability Section 1115 Model Waiver

OMB 0938-0848 · HHS/CMS.

OMB 0938-0848

Latest Forms, Documents, and Supporting Material

Document Name
Health Insurance Flexibility and Accountability Section 1115 Model Waiver Form

All Historical Document Collections

200202-0938-006 Approved with change	Extension without change of a currently approved collection	2002-02-28
200108-0938-001 Approved without change	New collection (Request for a new OMB Control Number)	2001-08-02