OMB control number
Request For Medicare Payment By Mmhd Facility
OMB 0938-0145 ยท HHS/CMS.
OMB 0938-0145
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 REQUEST FOR MEDICARE PAYMENT BY MMHD FACILITY |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198203-0938-003 | Extension without change of a currently approved collection | 1982-03-19 | Approved without change | |
| 198101-0938-004 | New collection (Request for a new OMB Control Number) | 1981-01-08 | Approved without change |