OMB
.report
Search
Attachment 89 – MPC Hospital Provider Authorization Form Package, Point of Contact for Medical Records
Attachment 89 MPC Hospital_MR_AF_Packet.doc
Medical Expenditure Panel Survey - Household and Medical Provider Components
Attachment 89 – MPC Hospital Provider Authorization Form Package, Point of Contact for Medical Records
OMB: 0935-0118
OMB.report
HHS/AHRQ
OMB 0935-0118
ICR 202401-0935-001
IC 191106
Attachment 89 – MPC Hospital Provider Authorization Form Package, Point of Contact for Medical Records
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0935-0118 can be found here:
2024-07-02 - Revision of a currently approved collection
Document [html]
Download:
html
The system is under maintenance. It will be back shortly.
File Type
text/html
© 2025 OMB.report |
Privacy Policy