OMB control number

Tribal Consultation State Plan Amendment Template (CMS-10293)

OMB 0938-1098 · HHS/CMS.

OMB 0938-1098

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10293 Tribal Consultation State Plan Amendment Template (CMS-10293) Form and Instruction
CMS-10293.SHO Letter.doc Supplementary Document
CMS-10293_Supporting_Statement [rev 7-25-2013 by OSORA PRA].doc Supporting Statement A
Tribal Consultation State Plan Amendment Template (CMS-10293) Form and Instruction

All Historical Document Collections

201307-0938-027 Approved without change	Extension without change of a currently approved collection	2013-07-30
201006-0938-001 Approved without change	New collection (Request for a new OMB Control Number)	2010-06-04