Intermediary Benefit Payment Report

OMB 0938-0371

Latest Forms, Documents, and Supporting Material

Document Name
INTERMEDIARY BENEFIT PAYMENT REPORT Form

All Historical Document Collections

199303-0938-006 Approved without change	Revision of a currently approved collection	1993-03-16
199110-0938-002 Approved without change	Reinstatement with change of a previously approved collection	1991-10-24
198904-0938-028 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-04-07
198705-0938-002 Approved without change	Revision of a currently approved collection	1987-05-15
198407-0938-005 Approved without change	New collection (Request for a new OMB Control Number)	1984-07-06