Document

Application for Part A (Hospital Insurance)

ICR 202407-0938-001 · OMB 0938-0080 · Object 144302701.

Document Viewer [pdf]

Status: Original and derived artifacts are available for this document.

Download: pdf

Primary: pdfSource: application/octet-stream
Loading document viewer…

Document Metadata

Record metadata
application/octet-stream
Application for Part A (Hospital Insurance)
Application, Part A, Hospital Insurance, CMS, CMS Form 18-F-5, Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services
2024-03-26
2024-02-26
complete