Information Collection Requirements At 42 Cfr 411.54(c)(1) Itemized Statement Of Hospital Charges

OMB 0938-0558

Latest Forms, Documents, and Supporting Material

Document Name
INFORMATION COLLECTION REQUIREMENTS AT 42 CFR 411.54(C)(1) ITEMIZED STATEMENT OF HOSPITAL CHARGES Form

All Historical Document Collections

199111-0938-002 Approved without change	Extension without change of a currently approved collection	1991-11-12
198911-0938-003 Approved without change	New collection (Request for a new OMB Control Number)	1989-11-21