OMB control number

Application for Reimbursement for Hospital Services in Canada

OMB 3220-0086 · RRB.

OMB 3220-0086

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form AA-104 Application for Reimbursement for Hospital Services in CanadaForm
RB-104 (08-05).pdf Supplementary Document
3220-0086.docSupporting Statement A
Application for Reimbursement for Hospital Services in Canada Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201409-3220-001 Extension without change of a currently approved collection 2014-09-30 Approved without change
201108-3220-001 Revision of a currently approved collection 2011-08-22 Approved without change
200806-3220-001 Revision of a currently approved collection 2008-06-24 Approved without change
200506-3220-002 Extension without change of a currently approved collection 2005-06-08 Approved without change
200205-3220-004 Extension without change of a currently approved collection 2002-05-24 Approved without change
199905-3220-003 Extension without change of a currently approved collection 1999-05-20 Approved without change
199605-3220-004 Extension without change of a currently approved collection 1996-05-20 Approved without change
199305-3220-001 Revision of a currently approved collection 1993-05-26 Approved without change
199008-3220-002 Extension without change of a currently approved collection 1990-08-08 Approved without change
198708-3220-002 Revision of a currently approved collection 1987-08-31 Approved without change
198410-3220-002 Extension without change of a currently approved collection 1984-10-02 Approved without change
198108-3220-003 Revision of a currently approved collection 1981-08-31 Approved without change
198105-3220-036 No material or nonsubstantive change to a currently approved collection 1981-05-29 Approved with change
198105-3220-018 No material or nonsubstantive change to a currently approved collection 1981-05-28 Approved with change
198103-3220-035 No material or nonsubstantive change to a currently approved collection 1981-03-21 Approved with change
198102-3220-009 Reinstatement with change of a previously approved collection 1981-02-19 Approved without change
198012-3220-005 No material or nonsubstantive change to a currently approved collection 1980-12-26 Approved with change
198009-3220-013 No material or nonsubstantive change to a currently approved collection 1980-09-23 Approved with change
197908-3220-009 Extension without change of a currently approved collection 1979-08-31 Approved without change
197907-3220-014 Reinstatement without change of a previously approved collection 1979-07-30 Approved without change
197405-3220-003 New collection (Request for a new OMB Control Number) 1974-05-15 Approved without change