OMB
.report
Search
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
No Surprise Act: IDR Process
5. Tri-dept - notice of agreement of OON rate (data elements) clean 9.28.21
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
OMB: 1210-0169
OMB.report
TREAS/IRS
OMB 1210-0169
ICR 202302-1545-001CF
IC 252194
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0169 can be found here:
2023-11-03 - Revision of a currently approved collection
Document [docx]
Download:
docx
|
pdf
File Type
application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
MG/DOL
File Modified
0000-00-00
File Created
2023-08-30
© 2024 OMB.report |
Privacy Policy