OMB
.report
Search
Electronic Funds Transfer Authorization Agreement
Electronic Funds Transfer Authorization Agreement (CMS-588)
OMB: 0938-0626
IC ID: 43660
OMB.report
HHS/CMS
OMB 0938-0626
ICR 202305-0938-005
IC 43660
( )
Documents and Forms
Document Name
Document Type
Form CMS-588
Electronic Funds Transfer Authorization Agreement
Form and Instruction
CMS-588 Electronic Funds Transfer
CMS-588 - Electronic Funds Transfer Form.pdf
Form and Instruction
Information Collection (IC) Details
© 2024 OMB.report |
Privacy Policy