Information Collection Request
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003)
ICR 202312-0938-007 · OMB 0938-0449 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0449 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-8003 Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310 |
Form and Instruction | Modified | Repair queued |
 CMS-8003 - Supporting Statement A (2020 version 4) Dec 2023 EXTENSION WITHOUT CHANGE.docx |
Supporting Statement A | Uploaded 2023-12-22 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 8072 |  Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310 |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0449 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 202202-0938-008 |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |