OMB control number
Request For Medical Payment
OMB 3220-0085 · RRB.
OMB 3220-0085
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
REQUEST FOR MEDICAL PAYMENT All Historical Document Collections
|
Approved without change |
Revision of a currently approved collection | 1980-06-24 | |
|
Approved with change |
No material or nonsubstantive change to a currently approved collection | 1980-04-18 | |
|
Approved without change |
Revision of a currently approved collection | 1979-03-13 | |
|
Approved without change |
Extension without change of a currently approved collection | 1976-11-09 |