OMB control number

Medicaid Emergency Psychiatric Demonstration

OMB 0938-1131 · HHS/CMS.

OMB 0938-1131

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10382 Application Process Form and Instruction
CMS-10382.(0938-1131).REVISED Solicitation (7-26-11).docx Supplementary Document
CMS-10382.Justification of Nonmaterial Change.docx Justification for No Material/Nonsubstantive Change
CMS-10382.Supporting Statement Part A.pdf Supporting Statement A
Application Process Form and Instruction

All Historical Document Collections

201106-0938-015 Approved with change	No material or nonsubstantive change to a currently approved collection	2011-06-16
201104-0938-002 Approved without change	New collection (Request for a new OMB Control Number)	2011-04-08