OMB control number

Medicare Health Support Program Medical Records Abstraction

OMB 0938-0985 · HHS/CMS.

OMB 0938-0985

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Medicare Health Support Program Medical Records Abstraction Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200601-0938-005 New collection (Request for a new OMB Control Number) 2006-01-06 Approved without change