OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicare Intermediary Request to Skilled Nursing Facilities for Medical Information on Claims to be Processed

OMB 0938-0223 · HHS/CMS.

OMB 0938-0223

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Medicare Intermediary Request to Skilled Nursing Facilities for Medical Information on Claims to be Processed Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
199504-0938-002 Reinstatement with change of a previously approved collection 1995-04-24 Approved without change
199107-0938-006 Revision of a currently approved collection 1991-07-23 Approved without change
199005-0938-002 Reinstatement with change of a previously approved collection 1990-05-01 Approved without change
198803-0938-003 Revision of a currently approved collection 1988-03-22 Approved without change
198506-0938-002 Reinstatement with change of a previously approved collection 1985-06-24 Approved without change
198501-0938-006 Reinstatement with change of a previously approved collection 1985-01-24 Approved without change
198310-0938-007 Reinstatement with change of a previously approved collection 1983-10-31 Approved without change
198112-0938-002 New collection (Request for a new OMB Control Number) 1981-12-01 Approved without change