Provider Overpayment Report

OMB 0938-0441

Latest Forms, Documents, and Supporting Material

Document Name
PROVIDER OVERPAYMENT REPORT Form

All Historical Document Collections

199208-0938-010 Approved without change	Reinstatement with change of a previously approved collection	1992-08-17
198905-0938-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-05-24
198903-0938-003 Approved without change	Reinstatement with change of a previously approved collection	1989-03-06
198507-0938-001 Approved without change	New collection (Request for a new OMB Control Number)	1985-07-17