OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Federal Reimbursement Of Emergency Health Services Furnished To Undocumented Aliens (section 1011) Provider Enrollment Application

OMB 0938-0929 · HHS/CMS.

OMB 0938-0929
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 Reinstatement without change of a previously approved collection 2013-07-19
Approved with change
 Revision of a currently approved collection 2008-04-25
Approved without change
 No material or nonsubstantive change to a currently approved collection 2005-12-01
Approved without change
 Extension without change of a currently approved collection 2005-02-25
Approved with change
 New collection (Request for a new OMB Control Number) 2004-08-31