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Application for Enrollment in Medicare Part B (Medical Insurance)
Application for Enrollment in Medicare - The Medical Insurance Program (CMS-40B)
OMB: 0938-1230
IC ID: 209928
OMB.report
HHS/CMS
OMB 0938-1230
ICR 202311-0938-011
IC 209928
( )
Documents and Forms
Document Name
Document Type
Form CMS-40B (SP)
Application for Enrollment in Medicare Part B (Medical Insurance)
Form and Instruction
CMS-40B (SP) Solicitud De Inscripcion En La Parte De Medicare (Seguro Medico)
Spanish_CMS-40B_508_Enabled revised.pdf
www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS40B-S.pdf
Form and Instruction
CMS-40B Application for Enrollment in Medicare Part B (Medical Insurance)
CMS-40B_508_01.09.24.pdf
Form and Instruction
Information Collection (IC) Details
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