Information Collection Request
Social Security Office (SSO) Report of State Buy-in Problems (CMS-1957)
ICR 202212-0938-008 · OMB 0938-0035 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0035 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-1957 SSO Report of State Buy-in Problems |
Form | Modified | Missing upstream |
 CMS-1957.Supporting Statement Part A (30-day).docx |
Supporting Statement A | Uploaded 2022-12-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 221460 |  SSO Report of State Buy-in Problems |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0035 |
| Type of Information Collection | Reinstatement without change of a previously approved collection |
| Previous ICR Reference No | 201908-0938-014 |
| Agency Tracking No | CMS-1957 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |