Document
Application for Enrollment in Medicare Part B (Medical Insurance)
ICR 202311-0938-011 · OMB 0938-1230 · Object 137515502.
This document may belong to an older filing. More recent activity for OMB 0938-1230:
Document Viewer [pdf]
Status: Original and derived artifacts are available for this document.
Download: pdf
Loading document viewer…
Document Metadata
| File Type | application/octet-stream |
|---|---|
| File Title | Application for Enrollment in Medicare Part B (Medical Insurance) |
| Subject | Application, Enrollment, Medicare Part B, Medical Insurance, CMS, CMS Form-40B, Centers for Medicare & Medicaid Services, 01.202 |
| Author | Centers for Medicare & Medicaid Services |
| File Modified | 2024-01-09 |
| File Created | 2023-11-01 |
| Conversion State | complete |