OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

IHS Contract Health Service Report

OMB 0917-0002 · HHS/IHS.

OMB 0917-0002

Latest Forms, Documents, and Supporting Material

Document Name
Form IHS-843-1A Order for Health Services Form and Instruction
Form OMB No. 0917-0002, IHS-843-1A, Order for Health Services Form and Instruction
IHS Privacy Act system notice 09 17 0001, IHS Medical, Health and Billing Records.pdf Supplementary Document
42 C.F.R. 136.24.pdf Supplementary Document
TRANSFER_ACT_PubLaw_83_568_1954[1].pdf Supplementary Document
SnyderAct[1].pdf Supplementary Document
OMB No 0917-0002 SUPPORTING STATEMENT A 1-15-2013[1].doc Supporting Statement A
Order for Health Services Form and Instruction
Inpatient Discharge Summary
IHS-843-1A, Order for Health Services Form and Instruction

All Historical Document Collections

201302-0917-001 Approved without change	Revision of a currently approved collection	2013-02-08
201001-0917-002 Approved without change	Extension without change of a currently approved collection	2010-01-25
200611-0917-001 Approved without change	Extension without change of a currently approved collection	2006-11-15
200307-0917-001 Approved without change	Reinstatement without change of a previously approved collection	2003-07-02
200111-0917-001 Approved without change	Reinstatement without change of a previously approved collection	2001-11-28
199802-0917-001 Approved without change	Reinstatement with change of a previously approved collection	1998-02-23
199609-0917-001 Approved without change	Reinstatement with change of a previously approved collection	1996-09-09
199406-0917-002 Approved without change	Reinstatement with change of a previously approved collection	1994-06-02
199104-0917-001 Approved without change	Extension without change of a currently approved collection	1991-04-17
198905-0917-001 Approved without change	Revision of a currently approved collection	1989-05-04
198803-0917-002 Approved without change	Revision of a currently approved collection	1988-03-29