OMB control number

Payer's Request For Identifying Number Of Supplier Or Provider Of Medical And Health Care Services

OMB 1545-0178 · TREAS/IRS.

OMB 1545-0178

Latest Forms, Documents, and Supporting Material

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
198304-1545-005 Extension without change of a currently approved collection 1983-04-08 Approved without change
198107-1545-038 Revision of a currently approved collection 1981-07-30 Approved without change
198104-1545-178 Revision of a currently approved collection 1981-04-01 Approved without change