Claim for Reimbursement for Emergency Medical Care

Claim for Reimbursement for Emergency Medical Care

OMB: 3240-0030

IC ID: 35554

Information Collection (IC) Details

View Information Collection (IC)

Claim for Reimbursement for Emergency Medical Care
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSS FORM 166 Claim Reimbursement for Emergency Medical Care SSS FORM 166.pdf No   Paper Only

General Government Executive Functions

 

1 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1 0 0 0 0 1
Annual IC Time Burden (Hours) 1 0 0 0 0 1
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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