'medicare' Request For Claim Number Verification

OMB 0938-0089

OMB 0938-0089
Latest Forms, Documents, and Supporting Material
Document
Name
All Historical Document Collections
Approved with change
 No material or nonsubstantive change to a currently approved collection 1991-05-07
Approved without change
 Revision of a currently approved collection 1990-12-20
Approved without change
 Revision of a currently approved collection 1989-06-27
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-04-06
Approved without change
 Revision of a currently approved collection 1986-05-16
Approved without change
 Reinstatement with change of a previously approved collection 1983-09-08
Approved with change
 No material or nonsubstantive change to a currently approved collection 1983-05-18
Approved without change
 Extension without change of a currently approved collection 1978-08-14
Approved with change
 No material or nonsubstantive change to a currently approved collection 1975-02-19
Approved without change
 Extension without change of a currently approved collection 1975-01-31
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