OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Federal Funding of Emergency Health Services (Section 1011); Provider Payment Determination and On-Call Cost Forms

OMB 0938-0952 · HHS/CMS.

OMB 0938-0952
Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Form and Instruction
Supporting Statement A
All Historical Document Collections
Approved without change
 Reinstatement without change of a previously approved collection 2013-07-19
Approved without change
 Extension without change of a currently approved collection 2008-11-04
Approved without change
 Extension without change of a currently approved collection 2005-11-18
Approved with change
 New collection (Request for a new OMB Control Number) 2005-05-05