OMB control number
Request For Medical Payment
OMB 3220-0085 ยท RRB.
OMB 3220-0085
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 REQUEST FOR MEDICAL PAYMENT |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198006-3220-004 | Revision of a currently approved collection | 1980-06-24 | Approved without change | |
| 198004-3220-013 | No material or nonsubstantive change to a currently approved collection | 1980-04-18 | Approved with change | |
| 197903-3220-014 | Revision of a currently approved collection | 1979-03-13 | Approved without change | |
| 197611-3220-003 | Extension without change of a currently approved collection | 1976-11-09 | Approved without change |