OMB control number
Information Collection Requirements At 42 Cfr 411.54(c)(1) Itemized Statement Of Hospital Charges
OMB 0938-0558 · HHS/CMS.
OMB 0938-0558
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 INFORMATION COLLECTION REQUIREMENTS AT 42 CFR 411.54(C)(1) ITEMIZED STATEMENT OF HOSPITAL CHARGES |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 199111-0938-002 | Extension without change of a currently approved collection | 1991-11-12 | Approved without change | |
| 198911-0938-003 | New collection (Request for a new OMB Control Number) | 1989-11-21 | Approved without change |