Notice of Action
NOA 524630
RCF 202401-0720-001CF · ICR 202306-0938-002 · OMB 0938-0997
NOA Summary
| Request ID | 524630 |
|---|---|
| Availability | Cached locally and available. |
| Filename | 202401-0720-001CF_524630.pdf |
| Size | 233 bytes |
| Agency | DOD/DODOASHA |
| Title | Health Insurance Claims Form, UB-04 CMS 1450 |
| OIRA Action | Approved |
| Conclusion Date | 2024-01-02 |
| Open PDF |
Related RCFs
| RCF | Host ICR | OMB | Agency | Title | OIRA Action | Conclusion |
|---|---|---|---|---|---|---|
| 202401-0720-001CF | 202306-0938-002 | 0938-0997 | DOD/DODOASHA | Health Insurance Claims Form, UB-04 CMS 1450 | Approved | 2024-01-02 |