OMB control number
Statement For Recipients Of Medical And Health Care Payments
OMB 1545-0104 · TREAS/IRS.
OMB 1545-0104
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 STATEMENT FOR RECIPIENTS OF MEDICAL AND HEALTH CARE PAYMENTS |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198104-1545-104 | Revision of a currently approved collection | 1981-04-01 | Approved without change |