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'medicare' Request For Claim Number Verification
OMB 0938-0089
OMB.report
HHS/CMS
OMB 0938-0089
OMB 0938-0089
Latest Forms, Documents, and Supporting Material
Document
Name
'MEDICARE' REQUEST FOR CLAIM NUMBER VERIFICATION
Form
All Historical Document Collections
199105-0938-015
Approved with change
No material or nonsubstantive change to a currently approved collection
1991-05-07
199012-0938-002
Approved without change
Revision of a currently approved collection
1990-12-20
198906-0938-006
Approved without change
Revision of a currently approved collection
1989-06-27
198904-0938-023
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-04-06
198605-0938-004
Approved without change
Revision of a currently approved collection
1986-05-16
198309-0938-002
Approved without change
Reinstatement with change of a previously approved collection
1983-09-08
198305-0938-021
Approved with change
No material or nonsubstantive change to a currently approved collection
1983-05-18
197808-0938-004
Approved without change
Extension without change of a currently approved collection
1978-08-14
197502-0938-003
Approved with change
No material or nonsubstantive change to a currently approved collection
1975-02-19
197501-0938-003
Approved without change
Extension without change of a currently approved collection
1975-01-31
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