OMB control number

Indian Health Service Contract Hospital Inpatient Report

OMB 0915-0021 · HHS/HSA.

OMB 0915-0021

Latest Forms, Documents, and Supporting Material

Document Name
INDIAN HEALTH SERVICE CONTRACT HOSPITAL INPATIENT REPORT Form

All Historical Document Collections

198408-0915-004 Approved without change	Extension without change of a currently approved collection	1984-08-06
198308-0915-006 Approved without change	Revision of a currently approved collection	1983-08-18
198107-0915-002 Approved without change	New collection (Request for a new OMB Control Number)	1981-07-30