OMB control number

Statement For Recipients Of Medical And Health Care Payments

OMB 1545-0114 · TREAS/IRS.

OMB 1545-0114

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
STATEMENT FOR RECIPIENTS OF MEDICAL AND HEALTH CARE PAYMENTS Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
198108-1545-048 Revision of a currently approved collection 1981-08-12 Approved without change
198104-1545-114 Revision of a currently approved collection 1981-04-01 Approved without change