OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Medicare: Intermediary Request to Hospitals for Medical Information on Inpatient Claims for Statutorily Excluded Services -- SSA 1862; 42 CFR 411.15; 60 FR 181

OMB 0938-0224 · HHS/CMS.

OMB 0938-0224

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Medicare: Intermediary Request to Hospitals for Medical Information on Inpatient Claims for Statutorily Excluded Services -- SSA 1862; 42 CFR 411.15; 60 FR 181 Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
199611-0938-001 Reinstatement without change of a previously approved collection 1996-11-07 Approved without change
199109-0938-004 Reinstatement with change of a previously approved collection 1991-09-18 Approved without change
198803-0938-001 Reinstatement with change of a previously approved collection 1988-03-22 Approved without change
198409-0938-013 Revision of a currently approved collection 1984-09-14 Approved without change
198310-0938-017 Reinstatement with change of a previously approved collection 1983-10-31 Approved without change
198112-0938-004 New collection (Request for a new OMB Control Number) 1981-12-01 Approved without change