Application for Reimbursement for Hospital Services in Canada

OMB 3220-0086

Latest Forms, Documents, and Supporting Material

Document Name
Form AA-104 Application for Reimbursement for Hospital Services in Canada Form
RB-104 (08-05).pdf Supplementary Document
3220-0086.doc Supporting Statement A
Application for Reimbursement for Hospital Services in Canada Form

All Historical Document Collections

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