Notice of Action

NOA 308732

RCF 202008-0720-002CF · ICR 202007-0938-008 · OMB 0938-0997

NOA Summary
Request ID308732
AvailabilityCached locally and available.
Filename202008-0720-002CF_308732.pdf
Size233 bytes
AgencyDOD/DODOASHA
TitleHealth Insurance Claims Form, UB-04 CMS 1450
OIRA ActionApproved without change
Conclusion Date2020-08-28
PDFOpen PDF
Related RCFs
RCFHost ICROMBAgencyTitleOIRA ActionConclusion
202008-0720-002CF202007-0938-0080938-0997DOD/DODOASHAHealth Insurance Claims Form, UB-04 CMS 1450Approved without change2020-08-28