OMB control number

Application for Participation in Medicare Replacement Drug Demonstration

OMB 0938-0924 · HHS/CMS.

OMB 0938-0924

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Application for Participation in Medicare Replacement Drug Demonstration Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200411-0938-002 Revision of a currently approved collection 2004-11-01 Approved without change
200405-0938-006 New collection (Request for a new OMB Control Number) 2004-05-14 Approved with change