OMB control number
Beneficiary Survey Form
OMB 0938-0649 ยท HHS/CMS.
OMB 0938-0649
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 BENEFICIARY SURVEY FORM |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 199403-0938-001 | New collection (Request for a new OMB Control Number) | 1994-03-17 | Approved without change |