Medicare Therapeutic Shoe Demonstration Program Certification And Prescription Form

OMB 0938-0533

Latest Forms, Documents, and Supporting Material

Document Name
MEDICARE THERAPEUTIC SHOE DEMONSTRATION PROGRAM CERTIFICATION AND PRESCRIPTION FORM Form

All Historical Document Collections

199106-0938-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-06-21
199101-0938-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-01-29
199010-0938-003 Approved without change	Extension without change of a currently approved collection	1990-10-17
198811-0938-008 Approved without change	New collection (Request for a new OMB Control Number)	1988-11-22