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Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest
OMB 0938-1231
OMB.report
HHS/CMS
OMB 0938-1231
OMB 0938-1231
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-855POH Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest
Form and Instruction
CMS-855(POH)_Supporting_Statement_Part_A(508).docx
Supporting Statement A
Annual Report of Physician-Owned Hospital Ownership and/or Investment Interest
Form and Instruction
All Historical Document Collections
201311-0938-022
Approved without change
New collection (Request for a new OMB Control Number)
2013-11-18
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