Dental Record Authorization and Invoice for Outpatient Service

OMB 2900-0335

OMB 2900-0335
Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supporting Statement A
All Historical Document Collections
Approved with change
 Reinstatement with change of a previously approved collection 2013-03-05
Approved without change
 Extension without change of a currently approved collection 2009-12-10
Approved without change
 Extension without change of a currently approved collection 2006-12-27
Approved without change
 Revision of a currently approved collection 2004-01-21
Approved without change
 Reinstatement without change of a previously approved collection 2000-11-30
Approved without change
 Reinstatement with change of a previously approved collection 1993-03-04
Approved with change
 No material or nonsubstantive change to a currently approved collection 1989-06-19
Approved with change
 No material or nonsubstantive change to a currently approved collection 1986-10-01
Approved without change
 Revision of a currently approved collection 1986-07-07
Approved with change
 No material or nonsubstantive change to a currently approved collection 1984-10-01
Approved without change
 Revision of a currently approved collection 1983-08-12
Approved without change
 New collection (Request for a new OMB Control Number) 1981-06-29
© 2025 OMB.report | Privacy Policy