OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Request for Review of Part B Medicare Claim

OMB 3220-0100 ยท RRB.

OMB 3220-0100

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Request for Review of Part B Medicare Claim Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200210-3220-002 Extension without change of a currently approved collection 2002-10-03 Approved without change
199909-3220-002 Extension without change of a currently approved collection 1999-09-20 Approved without change
199606-3220-002 Extension without change of a currently approved collection 1996-06-21 Approved without change
199306-3220-002 Extension without change of a currently approved collection 1993-06-24 Approved without change
199005-3220-005 Extension without change of a currently approved collection 1990-05-22 Approved without change
198705-3220-001 Extension without change of a currently approved collection 1987-05-28 Approved without change
198406-3220-001 Extension without change of a currently approved collection 1984-06-22 Approved without change
198107-3220-001 Extension without change of a currently approved collection 1981-07-06 Approved without change
198105-3220-021 No material or nonsubstantive change to a currently approved collection 1981-05-28 Approved with change
198103-3220-040 No material or nonsubstantive change to a currently approved collection 1981-03-21 Approved with change
198003-3220-005 Revision of a currently approved collection 1980-03-05 Approved without change
197502-3220-009 No material or nonsubstantive change to a currently approved collection 1975-02-21 Approved with change
197502-3220-003 Extension without change of a currently approved collection 1975-02-10 Approved without change