OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Reimbursement for Hospital Services in Canada

OMB 3220-0086 · RRB.

OMB 3220-0086
Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supplementary Document
Supporting Statement A
All Historical Document Collections
Approved without change
 Extension without change of a currently approved collection 2014-09-30
Approved without change
 Revision of a currently approved collection 2011-08-22
Approved without change
 Revision of a currently approved collection 2008-06-24
Approved without change
 Extension without change of a currently approved collection 2005-06-08
Approved without change
 Extension without change of a currently approved collection 2002-05-24
Approved without change
 Extension without change of a currently approved collection 1999-05-20
Approved without change
 Extension without change of a currently approved collection 1996-05-20
Approved without change
 Revision of a currently approved collection 1993-05-26
Approved without change
 Extension without change of a currently approved collection 1990-08-08
Approved without change
 Revision of a currently approved collection 1987-08-31
Approved without change
 Extension without change of a currently approved collection 1984-10-02
Approved without change
 Revision of a currently approved collection 1981-08-31
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-05-29
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-05-28
Approved with change
 No material or nonsubstantive change to a currently approved collection 1981-03-21
Approved without change
 Reinstatement with change of a previously approved collection 1981-02-19
Approved with change
 No material or nonsubstantive change to a currently approved collection 1980-12-26
Approved with change
 No material or nonsubstantive change to a currently approved collection 1980-09-23
Approved without change
 Extension without change of a currently approved collection 1979-08-31
Approved without change
 Reinstatement without change of a previously approved collection 1979-07-30
Approved without change
 New collection (Request for a new OMB Control Number) 1974-05-15