OMB control number
Pharmacy Billing Requirements
OMB 1215-0194 ยท DOL/ESA.
OMB 1215-0194
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 1215-0194 Supporting Stmt 10-28-2009final.doc | Supporting Statement A |
 DOL-ESA-6 (BLBA) and DOL-ESA-49 (EEOICPA) 1215-0194.pdf | Supplementary Document |
| DOL-GOVT-1 (FECA).pdf | Supplementary Document |
| 20 CFR 725.701 BLBA regs.pdf (2006 clearance).pdf | Supplementary Document |
| 20 CFR 30.701 EEOICPA regs.pdf(2006 clearance).pdf | Supplementary Document |
| 20 CFR 10.801 FECA regs.pdf(2006 clearance).pdf | Supplementary Document |
 Pharmacy Billing Requirements |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200907-1215-004 | Extension without change of a currently approved collection | 2009-11-17 | Approved without change | |
| 200701-1215-008 | Extension without change of a currently approved collection | 2007-01-19 | Approved without change | |
| 200506-1215-008 | No material or nonsubstantive change to a currently approved collection | 2005-06-29 | Approved without change | |
| 200311-1215-002 | Revision of a currently approved collection | 2003-11-25 | Approved without change | |
| 200108-1215-005 | No material or nonsubstantive change to a currently approved collection | 2001-08-03 | Approved without change | |
| 200011-1215-003 | Extension without change of a currently approved collection | 2000-11-28 | Approved without change | |
| 199712-1215-002 | New collection (Request for a new OMB Control Number) | 1997-12-17 | Approved without change |