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All Historical Document Collections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