Electronic Funds Transfer Authorization Agreement (CMS-588)

ICR 202305-0938-005

OMB: 0938-0626

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-588 Electronic Funds Transfer Authorization Agreement Form and Instruction	Modified
CMS-588 - Supporting Statemen t.docx Supporting Statement A	2023-05-11
CMS-588 - Crosswalk of Changes.xlsx Supplementary Document	2023-05-10

IC Document Collections

IC ID	Document Title	Status
43660	Electronic Funds Transfer Authorization Agreement Form and Instruction	Modified