OMB control number
Installment Agreement on Beneficiary Refund of Overpayment, HCFA-Pub. 13-3 and HCFA-Pub. 14-3
OMB 0938-0211 · HHS/CMS.
OMB 0938-0211
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Installment Agreement on Beneficiary Refund of Overpayment, HCFA-Pub. 13-3 and HCFA-Pub. 14-3 |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 199507-0938-002 | Revision of a currently approved collection | 1995-07-13 | Approved without change | |
| 199208-0938-003 | Reinstatement with change of a previously approved collection | 1992-08-17 | Approved without change | |
| 198903-0938-012 | Reinstatement with change of a previously approved collection | 1989-03-22 | Approved without change | |
| 198502-0938-006 | Revision of a currently approved collection | 1985-02-25 | Approved without change | |
| 198501-0938-001 | Reinstatement with change of a previously approved collection | 1985-01-24 | Approved without change | |
| 198310-0938-019 | Reinstatement with change of a previously approved collection | 1983-10-28 | Approved without change | |
| 198111-0938-015 | New collection (Request for a new OMB Control Number) | 1981-11-19 | Approved without change |