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Request For Approval As A Supplier Of Esrd Services In The Medicare Program
OMB 0935-0055
OMB.report
HHS/AHRQ
OMB 0935-0055
OMB 0935-0055
Latest Forms, Documents, and Supporting Material
Document
Name
REQUEST FOR APPROVAL AS A SUPPLIER OF ESRD SERVICES IN THE MEDICARE PROGRAM
Form
All Historical Document Collections
199310-0935-001
Approved without change
Reinstatement with change of a previously approved collection
1993-10-04
198106-0935-001
Approved without change
New collection (Request for a new OMB Control Number)
1981-06-01
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