OMB control number

Omnibus COVID-19 Health Care Staff Vaccination (IFC) (CMS-10801)

OMB 0938-1414 · HHS/CMS.

OMB 0938-1414

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10801 Supporting Statement 12-23-21.docx Supporting Statement A
ESRD facilities documentation
ESRD facilities Policies and procedures
RHCs and FQHCs documentation
RHCs and FQHCs policies and procedures
HIT documentation
HIT suppliers Policies and procedures
CMHCs documentation
CMHC Policies and procedures
Organizations documentation
Organizations policies and procedures
CAHs Policies and procedures
CORFs documentation
CORF Policies and procedures
HHA documentation
HHA Policies and procedures
ICFDs/IIDs documentation
iCFs/IIDs Policies and procedures
LTC Policies and Procedures
Hospital Documentation
Hospitals Policies and procedures
PACE documentation
PACE Policies and procedures
PRTF documentation
PRTFs Policies and procedures
Hospice documentation
Hospices - Policies and procedures
ASC documentation
ASC Policies and procedures

All Historical Document Collections

202201-0938-004

2022-01-07